[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-009","nurse-108-1-maternal-pediatric-009",108,1,9,"有關以羊水評估胎兒成熟度之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"檢查合宜時機為妊娠 16～18 週","卵磷脂與抱合髓磷脂（L\u002FS Ratio）之比值≧2 表示肺部已經成熟","羊水中雌三醇（Estriol）值＜10 mg 表示胎兒肺泡成熟","羊水中膽紅素值降至 0，表示胎兒肝臟發育有問題","B",null,[],"本題考點為以羊水指標評估胎兒成熟度，題目要選「正確」者。卵磷脂與抱合髓磷脂比值（L\u002FS ratio）≥2 代表肺部表面張力素充足、肺部已成熟，可降低新生兒呼吸窘迫症候群風險，故選 B。選項 A 錯誤，評估肺成熟的合宜時機在妊娠晚期（約 34 週後），16～18 週的羊水穿刺主要做染色體檢查而非肺成熟。選項 C 錯誤，羊水雌三醇反映胎兒胎盤功能，與肺泡成熟無直接對應，且數值判讀方向不符。選項 D 錯誤，羊水膽紅素降至接近 0 反映胎兒代謝與腎肝功能趨於成熟，屬正常成熟表現，並非肝臟發育有問題。故唯 L\u002FS≥2 的敘述成立。","胎兒肺成熟核心是第二型肺泡細胞分泌表面張力素，卵磷脂（lecithin）於孕晚期大幅上升、抱合髓磷脂（sphingomyelin）維持穩定，故 L\u002FS 比值升高即代表肺成熟，≥2 為門檻。輔助指標還有磷脂醯甘油（PG）出現，是更晚也更可靠的成熟指標。表面張力素不足會使肺泡塌陷，導致新生兒呼吸窘迫症候群。記憶口訣：L\u002FS 破 2、肺已就緒。連結概念：表面張力素、新生兒呼吸窘迫症候群、磷脂醯甘油。",[24,27,30,32],{"term":25,"count":26},"表面張力素",5,{"term":28,"count":29},"L\u002FS比值",4,{"term":31,"count":10},"胎兒肺成熟",{"term":33,"count":10},"新生兒呼吸窘迫症候群",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-1-maternal-pediatric-010","有關胎血循環，下列何者正確？",10,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-108-2-maternal-pediatric-026","出生第 3 天的新生兒，出現早發性母乳黃疸，產婦擔心是否可以繼續哺餵母乳，下列護理師的回答何者適當？",26,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-maternal-pediatric-040","有關更年期的賀爾蒙變化，下列何者正確？",40,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-maternal-pediatric-078","小畢，5 歲，因騎腳踏車跌倒，頭撞到地板，出現頭痛、嘔吐的現象，送醫後緊急接受開顱手術，下列有關手術後護理何者不適當？",78,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-maternal-pediatric-042","有關自閉症兒童的敘述，下列何者護理照護較為正確？",42,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-maternal-pediatric-076","吳小弟，5 個月大，持續腹瀉，有關護理指導的敘述，下列何者較不適當？",76,112,"2026-09-04",1788510710292]