[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-006":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-108-1-產兒科護理學-006","nurse-108-1-maternal-pediatric-006",108,1,6,"有關胚胎附屬器官發育的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"絨毛膜是由囊胚滋養層細胞發育而來","羊膜是胚胎膜最外層","羊水因含有胎兒尿液，故呈弱酸性","羊水量會隨著妊娠週數的增加而遞增，於懷孕 40 週達最高峰","A",null,[],"本題考點為胚胎附屬器官（胎膜、羊水）的發育，題目要選「正確」者。囊胚外層的滋養層細胞會分化發育成絨毛膜，故選 A 正確。選項 B 錯誤，胎膜由外而內為絨毛膜在外、羊膜在內，羊膜是最內層而非最外層。選項 C 錯誤，羊水偏弱鹼性（pH 約 7.0～7.5），臨床上以硝嗪試紙變藍判斷破水正是利用羊水呈鹼性的特性。選項 D 錯誤，羊水量約在妊娠 34～36 週達高峰（約 800～1000 mL），之後略減，並非到 40 週才最高。故四項中唯絨毛膜源自滋養層的敘述成立。","受精後囊胚分為內細胞團（發育成胚胎與羊膜）與外層滋養層（發育成絨毛膜與胎盤的胎兒部分）。胎膜構造由外而內：絨毛膜、羊膜；羊膜腔內充滿羊水。羊水呈弱鹼性，故破水鑑別用硝嗪（Nitrazine）試紙變藍或觀察羊齒狀結晶（ferning）。羊水量峰值約 34～36 週。記憶重點：滋養層→絨毛膜與胎盤；內細胞團→胚胎與羊膜；羊水鹼性可驗破水。連結概念：囊胚著床、硝嗪試驗、羊水過多與過少。",[24,26,28,30],{"term":25,"count":10},"滋養層分化絨毛膜",{"term":27,"count":10},"胎膜內外層次",{"term":29,"count":10},"羊水弱鹼性",{"term":31,"count":10},"羊水量峰值週數",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-007","有關絨毛膜取樣（Chorionic Villus Sampling）之敘述，下列何者錯誤？",7,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-maternal-pediatric-023","有關霍曼氏試驗（Homan's test）之敘述，下列何者錯誤？",23,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-037","有關陰道感染的護理措施，下列何者正確？",37,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-maternal-pediatric-075","罹患腸套疊（intussusception）的病童，接受鋇劑灌腸治療後，下列敘述何者正確？",75,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-maternal-pediatric-039","劉女士，28 歲，因外陰部搔癢、排尿時有灼熱感並有濃稠白色的陰道分泌物，內診時可見陰道壁有乳酪狀白色附著物，最有可能是下列何種病原感染？",39,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-maternal-pediatric-073","下列何者為評估病童「重度脫水」時會有的症狀或徵象？",73,112,"2026-09-04",1788510710272]