[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-114-3-產兒科護理學-042","nurse-114-3-maternal-pediatric-042",114,3,42,"小傑，8 歲，診斷再生不良性貧血（aplastic anemia），因白血球、紅血球及血小板下降而入院接受治療，下列護理何者最適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵戶外活動，以促進血循並增強肌力","避免給予粗糙、堅硬的食物，以防口腔黏膜受損","鼓勵並安排同學前來探訪會客，降低因同儕疏離而產生低自尊","注意預防發燒，必要時給予 Aspirin 藥物降溫，以免增加感染機會","B",null,[],"本題考點在於再生不良性貧血(全血球減少)的護理重點。因白血球、紅血球與血小板同時下降,護理核心是防感染、防出血、防缺氧;避免粗糙堅硬食物可防止口腔黏膜受損出血,故 B 正確。A 錯,紅血球低致缺氧、白血球低易感染,應避免戶外劇烈活動而非鼓勵;C 錯,白血球低下應限制訪客與保護性隔離以降低感染,不宜安排探訪;D 錯,Aspirin 會抑制血小板功能而加重出血,發燒也不應以其降溫。","再生不良性貧血是骨髓造血功能衰竭導致的全血球減少,與白血病的「芽細胞增生」不同。護理三防對應三系:紅血球↓防缺氧、白血球↓防感染(保護隔離)、血小板↓防出血(軟質飲食、電動刮鬍刀、避免 aspirin\u002FNSAID)。根治常需免疫抑制或骨髓移植。",[24,27,30,33],{"term":25,"count":26},"保護性隔離",6,{"term":28,"count":29},"再生不良性貧血",2,{"term":31,"count":32},"全血球減少",1,{"term":34,"count":32},"Aspirin 抑制血小板",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-3-maternal-pediatric-043","吳小妹，2 個月大，診斷為先天性甲狀腺功能低下（congenital hypothyroidism），下列護理指導何者最適當？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-115-2-maternal-pediatric-039","有關流行性感冒與一般感冒之差異，下列敘述何者錯誤？",39,115,{"webId":46,"stem":47,"number":10,"year":48,"session":29},"nurse-106-2-maternal-pediatric-003","姜女士懷孕 12 週，最後一次月經（LMP）為民國 104 年 2 月 25 日，懷孕前月經週期均約 30 天左右，其預產期約在何時？",106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-2-maternal-pediatric-041","下列何者是丹佛嬰幼兒發展篩檢測驗 II ( DDST II ) 的評估項目之一？",41,107,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-109-1-maternal-pediatric-005","有關胎兒發育之敘述，下列何者錯誤？",5,109,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-110-1-maternal-pediatric-039","體外受精與胚胎植入術（IVF-ET）執行過程中，受精卵分裂數量為多少時即可植入子宮內？",110,"2026-09-04",1788510762613]