[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-069":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-107-1-產兒科護理學-069","nurse-107-1-maternal-pediatric-069",107,1,69,"造成嬰幼兒上呼吸道感染及合併中耳炎的原因，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"鼻腔狹小","歐氏管較短，寬且呈水平","喉頭位於頸部較高處","舌頭在口腔內所占比例較大","B",null,[],"本題考點是嬰幼兒易併發中耳炎的解剖生理原因。依嬰幼兒耳部解剖特徵,其歐氏管(耳咽管)相較成人『較短、較寬且呈水平』,使鼻咽部的分泌物與病原體容易逆流進入中耳,故上呼吸道感染時易合併中耳炎,選 B。選項 A『鼻腔狹小』雖是嬰幼兒特徵、易致鼻塞,但與中耳感染的直接關聯不如歐氏管結構。選項 C『喉頭位於頸部較高處』影響的是吞嚥與呼吸道保護,非中耳炎成因。選項 D『舌頭在口腔占比大』與呼吸道阻塞或哺餵有關,亦非中耳炎主因。關鍵解剖因素在歐氏管『短、寬、平』利於病原逆行至中耳。","歐氏管連接中耳腔與鼻咽,正常成人呈約 45 度向下傾斜、細長,有助引流。嬰幼兒的歐氏管『短、寬、平(水平)』,加上平躺哺餵時奶液或分泌物更易經此逆流入中耳,故上呼吸道感染極易上行併發中耳炎——這也是嬰幼兒中耳炎盛行的解剖根源。護理連結:哺餵時抬高頭部、避免平躺喝奶、餵完拍嗝,可減少逆流。隨年齡增長歐氏管逐漸變長變斜、角度增加,中耳炎頻率隨之下降。記憶口訣:歐氏管『短寬平,細菌爬得快』。",[24,26,28,30],{"term":25,"count":10},"歐氏管短寬呈水平",{"term":27,"count":10},"嬰幼兒中耳炎解剖成因",{"term":29,"count":10},"分泌物逆流入中耳",{"term":31,"count":10},"上呼吸道感染併發",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-070","小虹，1 歲 2 個月，因細支氣管發炎住院，聽診下肺葉痰音重，醫師囑予 combivent 蒸氣吸入，及執行胸腔物理治療（CPT）。有關胸腔物理治療注意事項，下列何者正確？",70,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-006","有關胚胎附屬器官發育的敘述，下列何者正確？",6,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-020","有關產後生理變化的敘述，下列何者正確？",20,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-058","有關嬰兒玫瑰疹的敘述，下列何者正確？",58,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-022","王女士，從未避孕，產後出院前表示：「我暫時不想懷孕，可是不想避孕，覺得自然比較好。」下列敘述何者最適當？",22,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-056","有關提供慢性病兒童家庭之持續性及全面性照護的護理措施，下列敘述何者較不適當？",56,112,"2026-09-04",1788510703903]