[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":10},"nurse-106-1-產兒科護理學-053","nurse-106-1-maternal-pediatric-053",106,1,53,"翰翰，剛出生，發現有吸入胎便，有關胎便吸入症候群，下列護理評估與判斷何者正確？",{"A":14,"B":15,"C":16,"D":17},"會導致腸阻塞或腹瀉","會導致呼吸性鹼中毒","會導致肺栓塞及肋膜積水","會導致缺氧及小氣道阻塞","D",null,[],"本題考點為胎便吸入症候群(MAS)的病生理與評估判斷。依機轉,胎兒窘迫時排出胎便並吸入肺部,黏稠胎便阻塞細小氣道形成活瓣效應,造成通氣障礙、肺不張與空氣滯留,導致缺氧及小氣道阻塞,故選D正確。A 腸阻塞或腹瀉是腸道問題,與吸入性肺部病變無關;B 缺氧下應為呼吸性「酸」中毒而非鹼中毒;C 肺栓塞與肋膜積水並非 MAS 的典型病理,MAS 以化學性肺炎、氣胸與持續性肺高壓為主要併發症,故均不選。","MAS 記憶主線『胎便阻氣道→缺氧』:胎便造成部分阻塞的活瓣效應使氣體進得去出不來,引發過度充氣、氣胸,並刺激化學性肺炎;缺氧與酸中毒又誘發新生兒持續性肺高壓(PPHN),形成右到左分流的惡性循環。因缺氧會產生呼吸性酸中毒,故 B 的『鹼中毒』方向相反是明顯錯誤。處置重點在呼吸支持與維持氧合。",[24,26,28,30,32],{"term":25,"count":10},"胎便吸入症候群(MAS)",{"term":27,"count":10},"小氣道阻塞",{"term":29,"count":10},"缺氧",{"term":31,"count":10},"活瓣效應",{"term":33,"count":10},"新生兒持續性肺高壓(PPHN)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-054","劉小妹，妊娠週數 25 週又 5 天出生，體重 680 公克，現住在保溫箱中，目前體溫 36℃，有關維持正常體溫之措施，下列敘述何者錯誤？",54,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-maternal-pediatric-070","新生兒篩檢之代謝性異常疾病，若未及時治療，下列何者較不會影響智力的發展？",70,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-107-2-maternal-pediatric-004","潛伏期待產婦最可能有的行為反應為何？",4,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-maternal-pediatric-042","護理師幫幼兒觸診頸部時，觸摸到淋巴結，下列對於觸摸到淋巴結特徵的描述，何者屬於異常現象？",42,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-maternal-pediatric-006","懷孕 32 週婦女接受無壓力性試驗（Nonstress Test; NST）20 分鐘後，未發現胎兒有活動訊號，下列措施何者最適當？",6,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-040","有關乳房纖維腺瘤之敘述，下列何者正確？",40,111,"2026-09-04",1788510694159]