[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-106-1-產兒科護理學-063","nurse-106-1-maternal-pediatric-063",106,1,63,"有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"紅血球增多","低血氧及發紺症狀","上下肢血壓相差約 20 mmHg","心臟聽診時，第二心音加重","C",null,[],"本題考點是大動脈轉位的病理生理與其他先天性心臟病表徵的鑑別。TGA因主動脈接右心室、肺動脈接左心室,體肺循環平行,依此造成嚴重低血氧與發紺(B對),長期缺氧刺激紅血球生成而增多(A對),又因大血管前後重疊使第二心音單一而加重(D對)。C「上下肢血壓相差約20 mmHg」是主動脈窄縮的典型表現,反映狹窄段前後壓差,與TGA無關,故為錯誤選項。TGA的關鍵在體肺循環分隔,需靠心房中膈缺損或開放性動脈導管維持血流混合才能存活。","TGA存活關鍵在「有無交通」讓含氧血與缺氧血混合,故常用前列腺素E1維持動脈導管開放,或做氣球心房中膈造口術。上下肢血壓差是縮窄性主動脈病變(coarctation)的考點,常合併下肢脈搏減弱、上肢高血壓。記憶對比:轉位等於平行循環、發紺、需混合;窄縮等於上下肢血壓差、股動脈脈弱。",[24,27,30,32],{"term":25,"count":26},"動脈導管",3,{"term":28,"count":29},"主動脈窄縮",2,{"term":31,"count":10},"大動脈轉位",{"term":33,"count":10},"平行循環",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-064","下列何者不是兒童急性風濕熱會出現的臨床表徵？",64,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-maternal-pediatric-080","雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",80,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-107-2-maternal-pediatric-014","楊女士目前子宮頸口全開且完全變薄，當子宮收縮時感到非常疼痛。有關此時生產疼痛的主要來源，下列何者正確？",14,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-maternal-pediatric-052","常見的兒童虐待類型包括身體虐待、情緒（精神）虐待、性虐待及疏忽，有關兒童虐待的敘述，下列何者正確？",52,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-016","入院待產婦裝置體外電子胎兒監測器後，下列何者為第一優先的監測項目？",16,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-050","有關對於兒童疼痛控制的敘述，下列何者正確？",50,111,"2026-09-04",1788510694268]