[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-069":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-069","nurse-107-2-maternal-pediatric-069",107,2,69,"有關急性細支氣管炎的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"是學齡期兒童常見的上呼吸道感染","最常見的致病因是細菌感染","主要傳染途徑為接觸傳染，需採取隔離措施","呼吸困難嚴重之病童，會出現呼吸性酸中毒現象","D",null,[],"本題考點在於急性細支氣管炎的流行病學與酸鹼變化。此病為 2 歲以下嬰幼兒的下呼吸道感染,嚴重呼吸困難時因細支氣管阻塞、通氣不足使二氧化碳滯留,會出現呼吸性酸中毒,選 D。A 錯,它是嬰幼兒下呼吸道感染,非學齡期兒童的上呼吸道感染。B 錯,最常見致病原是呼吸道融合病毒(RSV)等病毒,非細菌。C 錯,傳染以飛沫與接觸兼具,單述「主要為接觸傳染」並不完整,應同時採飛沫與接觸防護。","RSV 感染細支氣管黏膜使其水腫、分泌物增加造成小氣道阻塞,呼氣受阻出現喘鳴與過度充氣。氣道愈細、阻力愈大(Poiseuille 定律:阻力與半徑四次方成反比),故嬰幼兒特別脆弱。病程加重時 CO₂ 排出受阻→PaCO₂ 上升→呼吸性酸中毒,是判讀病情惡化的關鍵指標。",[24,27,30,32],{"term":25,"count":26},"呼吸性酸中毒",6,{"term":28,"count":29},"急性細支氣管炎",1,{"term":31,"count":29},"呼吸道融合病毒(RSV)",{"term":33,"count":29},"小氣道阻力",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-070","兒童的呼吸道系統由於尚未完全發展成熟，而與成人有差異，下列何者正確？",70,{"webId":40,"stem":41,"number":26,"year":42,"session":10},"nurse-108-2-maternal-pediatric-006","羊水指數（AFI）是以超音波觀察羊水量，有關判定之標準，下列何者正確？①小於 10 cm 為羊水過少 ②大於 2000 mL 為羊水過多 ③28 週可達 1000 mL ④約 36 週羊水增加至最高點",108,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-109-1-maternal-pediatric-020","有關待產的麻醉藥物減痛之敘述，下列何者正確？",20,109,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-058","協助學齡前期的手足面對病童瀕死的護理措施，下列敘述何者正確？",58,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-022","有關泌乳機轉的敘述，下列何者正確？",22,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-056","有關評估早產兒的生長發展，下列敘述何者最適當？",56,112,"2026-09-04",1788510726333]