[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-028":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-106-2-產兒科護理學-028","nurse-106-2-maternal-pediatric-028",106,2,28,"有關新生兒呼吸系統之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"因內在刺激影響主動脈與頸動脈之接受器傳導到呼吸中樞引發呼吸","陰道生產較剖腹生產的新生兒易發生短暫的呼吸窘迫","因外在環境溫度刺激傳導到呼吸中樞引發呼吸","表面張力素可預防肺部塌陷","B",null,[],"本題考點為新生兒首次呼吸的啟動與呼吸窘迫危險因子,屬找錯誤題。剖腹產兒缺少產道擠壓,肺液排除較少,反而較易發生短暫性呼吸窘迫(TTN),故「陰道生產較剖腹生產易呼吸窘迫」方向相反,B錯誤為答案。A化學刺激:低血氧、高二氧化碳經主動脈與頸動脈化學受器傳至呼吸中樞,正確;C溫度刺激:出生後環境降溫刺激皮膚感受器促發呼吸,正確;D表面張力素(surfactant)降低肺泡表面張力、防塌陷,正確。判準為肺液清除機轉。","新生兒首次呼吸三大刺激:化學(PaO₂↓、PaCO₂↑、pH↓)、溫度(冷刺激)、機械(產道擠壓排肺液加胸廓回彈吸氣)。TTN好發於剖腹產、早產,因肺液滯留;surfactant由第二型肺泡細胞於孕34週後大量分泌,不足則致新生兒呼吸窘迫症候群(RDS)。口訣:剖腹沒被擠,肺水排不清。",[24,27,29,32],{"term":25,"count":26},"表面張力素",5,{"term":28,"count":10},"新生兒首次呼吸",{"term":30,"count":31},"短暫性呼吸窘迫TTN",1,{"term":33,"count":31},"化學受器",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-maternal-pediatric-029","有關女性新生兒生殖器之成熟度評估，下列何者最成熟？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-107-1-maternal-pediatric-045","兒童的復發性腹痛（recurrent abdominal pain）會具有下列何項特徵？①腹痛會出現在肚臍周圍 ②是一種轉移性的腹痛 ③解出鬆軟的大便 ④腹痛時間是不規律的 ⑤會伴隨體溫升高",45,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-maternal-pediatric-059","運用感官對事物所得的心像來了解世界，但卻仍不能以質量保留以及長度保留來認知事物，此兒童之認知發展處於：",59,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-109-1-maternal-pediatric-017","承上題，第二產程用力時，胎心率出現早發性減速的原因為何？",17,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-1-maternal-pediatric-061","小傑，8 個月，罹患支氣管肺炎（Bronchopneumonia），需住院治療，下列護理措施何者不適當？",61,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-015","根據世界衛生組織（WHO）對無併發症或任何健康問題婦女的待產期照護建議，下列何者正確？",15,111,"2026-09-04",1788510699300]