[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-071":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-107-1-產兒科護理學-071","nurse-107-1-maternal-pediatric-071",107,1,71,"有關胎血循環的血流方向，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"臍動脈血液流入靜脈導管","動脈導管血液流入主動脈","肺靜脈血液流入肺臟","左心室的血液經卵圓孔流入右心室","B",null,[],"本題考點在於胎兒循環的血流路徑與三大分流構造。依胎兒循環解剖，動脈導管（ductus arteriosus）連接肺動脈與降主動脈，功能是讓右心室送往肺動脈的血繞過尚未擴張的肺臟、直接匯入主動脈，故血液由肺動脈流入主動脈，選 B。A 錯在方向與構造：臍動脈攜帶缺氧血流向胎盤，而靜脈導管（ductus venosus）銜接的是帶氧血的臍靜脈，兩者不相通。C 錯在胎兒期肺循環量極少，且血流方向是肺靜脈把血帶回左心房，而非「流入肺臟」。D 錯在卵圓孔（foramen ovale）是右心房到左心房的右往左分流，並非左心室經卵圓孔流入右心室。","胎兒三大分流可用一句口訣串起來：帶氧血從胎盤經臍靜脈→靜脈導管→下腔靜脈→右心房，一部分經卵圓孔到左心房、左心室、上行主動脈供應腦與上肢；另一部分右心房→右心室→肺動脈→動脈導管→降主動脈供應下半身。兩個導管都是為了「繞過」尚無功能的器官：靜脈導管繞過肝、動脈導管繞過肺。出生後第一口呼吸使肺阻力驟降、左心壓上升，卵圓孔功能性關閉；動脈導管則因血氧上升、前列腺素下降而收縮閉合。理解「氧氣與前列腺素決定動脈導管開閉」也是先天性心臟病用 PGE1 維持導管開放的基礎。",[24,27,30,32,34],{"term":25,"count":26},"胎兒循環",4,{"term":28,"count":29},"動脈導管",3,{"term":31,"count":10},"卵圓孔",{"term":33,"count":10},"靜脈導管",{"term":35,"count":10},"臍動靜脈",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-maternal-pediatric-072","先天性心臟病的嬰兒常因餵食困難而造成營養攝取不足。有關嬰兒餵食的護理措施，下列敘述何者錯誤？",72,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-108-1-maternal-pediatric-008","一般建議孕期無壓力試驗（NST）開始測試的時間點和目的之敘述，下列何者正確？",8,108,{"webId":47,"stem":48,"number":49,"year":45,"session":50},"nurse-108-2-maternal-pediatric-022","有關母嬰親善醫院的 10 項措施，下列何者可直接促進親子依附關係？",22,2,{"webId":52,"stem":53,"number":54,"year":55,"session":50},"nurse-109-2-maternal-pediatric-060","小花 6 個月，疑似罹患呼吸道融合病毒，有關採檢相關的敘述，下列何者最適當？",60,109,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-maternal-pediatric-024","李女士，採脊髓阻斷麻醉剖腹產，產後第 1 天主訴噁心感，起床的時候頭很痛，躺下頭痛就好些。下列何項護理指導較適當？",24,111,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-112-1-maternal-pediatric-058","有關瀕死病童的生理變化，下列敘述何者錯誤？",58,112,"2026-09-04",1788510703934]