[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-008":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-108-1-產兒科護理學-008","nurse-108-1-maternal-pediatric-008",108,1,8,"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？",{"A":14,"B":15,"C":16,"D":17},"24 週，檢測胎兒呼吸成熟度","24 週，檢測胎兒神經成熟度","32 週，檢測胎兒呼吸成熟度","32 週，檢測胎兒神經成熟度","D",null,[],"本題考點為無壓力試驗（NST）的起始時機與評估目的。NST 藉胎動時胎心率是否加速來反映胎兒自主神經與中樞神經對缺氧的儲備反應，一般於妊娠約 32 週開始執行，用以評估胎兒神經（自主神經）成熟與健康狀態，故選 D「32 週，檢測胎兒神經成熟度」。選項 A、B 的「24 週」過早，此時胎兒神經反應尚未成熟、易出現無反應型偽陽性，不是常規起始點。選項 C 雖時間正確為 32 週，但「檢測呼吸成熟度」錯誤，呼吸成熟度是靠羊水卵磷脂與抱合髓磷脂比值評估，非 NST 的目的。故時間與目的兩者皆對者為 D。","NST 判讀採「反應型（reactive）」標準：20 分鐘內至少 2 次胎心加速，每次上升≥15 bpm 且持續≥15 秒，代表胎兒自主神經健全、無明顯缺氧。之所以約 32 週才做，是因胎兒神經系統需發育成熟才能穩定出現加速反應，過早易呈無反應型而誤判。呼吸\u002F肺成熟度另由 L\u002FS 比值評估，兩者勿混。記憶重點：NST＝神經反應、看加速；肺成熟＝L\u002FS 比值。連結概念：胎心加速、L\u002FS 比值、生物物理評估（BPP）。",[24,27,30,32],{"term":25,"count":26},"無壓力試驗NST",6,{"term":28,"count":29},"反應型判讀標準",2,{"term":31,"count":10},"胎兒神經成熟",{"term":33,"count":10},"起始週數32週",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-108-2-maternal-pediatric-025","有關新生兒囟門的敘述，下列何者正確？①前囟門為菱形，由二塊額骨及二塊頂骨組成 ②後囟門為三角形，約出生後 18 週關閉 ③囟門若凹陷代表有脫水現象 ④胎頭之塑形現象（molding）， 1 個月後即可恢復",25,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-maternal-pediatric-039","有關子宮頸抹片檢查之敘述，下列何者正確？",39,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-maternal-pediatric-077","周小弟，12 歲，因打球跌倒導致右側脛腓骨骨折，已上石膏住院治療，下列護理措施何者錯誤？",77,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-2-maternal-pediatric-041","依據美國燒傷協會有關兒童重度燒燙傷程度的分類，下列敘述何者正確？",41,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-2-maternal-pediatric-075","有關病童罹患腸套疊（Intussusception）之治療和護理措施，下列敘述何者正確？",75,112,"2026-09-04",1788510710279]