[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-065":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-107-2-產兒科護理學-065","nurse-107-2-maternal-pediatric-065",107,2,65,"高危險新生兒常易出現呼吸窘迫症候群（RDS），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"呼氣時出現咕嚕聲（expiratory grunting）","肺泡缺乏表面張力素，而使肺泡塌陷","嚴重者兩側肺部 X-ray 檢查呈現出毛玻璃樣之影像","容易有呼吸性鹼中毒","D",null,[],"本題考點在於呼吸窘迫症候群(RDS)的病生理與酸鹼狀態。RDS 因肺泡缺乏表面張力素而塌陷,通氣不足導致二氧化碳滯留,應為「呼吸性酸中毒」而非鹼中毒,故 D 敘述錯誤,即為答案。A 呼氣時出現咕嚕聲(expiratory grunting)是自我製造吐氣末正壓、避免肺泡塌陷的代償,正確。B 缺乏表面張力素(surfactant)使肺泡表面張力增高而塌陷,是核心機轉,正確。C 嚴重者胸部 X 光呈毛玻璃樣(ground-glass)影像伴支氣管充氣徵,正確。","表面張力素由第二型肺泡細胞分泌,約妊娠 34~36 週趨成熟,故早產兒最易罹患 RDS。缺乏時依 Laplace 定律,小肺泡表面張力更高更易塌陷,造成瀰漫性肺不張、通氣血流不匹配、缺氧與 CO₂ 滯留(呼吸性酸中毒)。治療含外源性表面張力素與呼吸支持;產前類固醇可促胎肺成熟以預防。",[24,27,30,32],{"term":25,"count":26},"呼吸性酸中毒",6,{"term":28,"count":29},"呼吸窘迫症候群(RDS)",1,{"term":31,"count":29},"表面張力素缺乏",{"term":33,"count":29},"毛玻璃樣影像",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-066","綺綺，3 歲，罹患急性白血病，近日因出現疼痛問題而住院，有關疼痛評估的敘述，下列何者正確？",66,{"webId":40,"stem":41,"number":10,"year":42,"session":10},"nurse-108-2-maternal-pediatric-002","下列那一種細菌或病毒感染，為罹患子宮頸癌的高危險群？",108,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-109-1-maternal-pediatric-016","李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",16,109,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-054","有關兒童事故傷害的預防與處置，下列敘述何者正確？",54,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-018","一位足月懷孕的孕婦，因腹痛來院準備待產，護理師評估其疼痛的性質：子宮收縮壓力在 40 mmHg，收縮的頻率不規則，子宮頸沒有變化，疼痛與不適的部位侷限在腹部，協助來回走動時其疼痛可減輕，該產婦的子宮收縮是屬於那一種陣痛？",18,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-052","小凱為 26 週大的早產兒，有關維持早產兒體溫的照護措施，下列敘述何者不適當？",52,112,"2026-09-04",1788510726302]