[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-2-產兒科護理學-008","nurse-107-2-maternal-pediatric-008",107,2,8,"下列何種情況最常利用超音波偵測胎兒臍帶動脈血流，以評估胎兒之生長發育？",{"A":14,"B":15,"C":16,"D":17},"妊娠糖尿病","妊娠高血壓","過期妊娠","紅斑性狼瘡","B",null,[],"本題考點在臍動脈血流都卜勒超音波的臨床適應症。妊娠高血壓（含子癇前症）會造成胎盤血管阻力上升、灌流不足，導致胎兒生長遲滯，臨床最常用臍動脈血流都卜勒評估胎盤功能與胎兒血流阻力，故選 B。A 妊娠糖尿病主要監測胎兒過大（巨嬰）與血糖控制，評估重點不同。C 過期妊娠監測重點在羊水量與胎盤鈣化、無壓力試驗，非以臍動脈血流為首選。D 紅斑性狼瘡雖可能影響胎盤，但非教科書列為臍動脈血流評估的最典型情境。本題要辨識胎盤灌流不足與生長遲滯的關聯，故選 B。","臍動脈血流都卜勒看的是 S\u002FD 比值或阻力指數（RI）：胎盤阻力升高時，舒張期血流減少、S\u002FD 比上升，嚴重可見舒張末期血流消失或逆流，是子癇前症合併胎兒生長遲滯的重要監測。妊娠高血壓的病生理核心是全身血管痙攣與胎盤螺旋動脈重塑不良，導致灌流下降。連結概念：子癇前症、胎兒生長遲滯 IUGR、S\u002FD 比值、胎盤功能不全。",[24,27,28,31],{"term":25,"count":26},"胎盤灌流",7,{"term":15,"count":10},{"term":29,"count":30},"臍動脈血流都卜勒",1,{"term":32,"count":30},"胎兒生長遲滯",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-maternal-pediatric-009","有關海洋性貧血之敘述，下列何者錯誤？",9,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-108-1-maternal-pediatric-025","李女士 G 1 P 1 ，2 小時前因雙胞胎妊娠採剖腹生產，採硬脊膜外麻醉，剛剛自恢復室轉到產後病房，下列何者不是護理師應優先進行的評估項目？",25,108,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-108-2-maternal-pediatric-039","有關精液檢查之護理指導，下列何者正確？",39,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-maternal-pediatric-077","有關提供癲癇病童長期服用抗癲癇藥物的護理措施，下列何者錯誤？",77,109,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-111-1-maternal-pediatric-041","因應少子化時代來臨，為保護兒童，兒童及少年福利與權益保障法規，下列何者錯誤？",41,111,{"webId":58,"stem":59,"number":60,"year":61,"session":30},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,112,"2026-09-04",1788510725687]