[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-108-2-產兒科護理學-059","nurse-108-2-maternal-pediatric-059",108,2,59,"有關早產兒視網膜病變，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"主要發生於妊娠 35 週以上的早產兒","與過度或長期給高氧、光線刺激有關","因視網膜血管舒張及發育不良所致","應於 4 個月大時，開始接受視網膜檢查及追蹤","B",null,[],"本題考點在於早產兒視網膜病變(ROP)的成因。依ROP的病生理,早產兒視網膜血管尚未發育完全,暴露於過度或長期高濃度氧氣(及光線刺激)會使已形成的視網膜血管收縮閉塞,之後再出現異常新生血管增生、纖維化甚至視網膜剝離,故正確者為B。A錯:ROP主要發生於妊娠週數更低(約\u003C32週)、極低體重的早產兒,而非35週以上;C錯:機轉是血管「收縮閉塞後異常增生」而非單純舒張與發育不良,描述不精確;D錯:ROP篩檢時機是出生後數週內(依矯正週數,約出生後4–6週或矯正31–32週開始),不是等到4個月大。考點在於辨識高氧是ROP的關鍵致病因子。","ROP兩階段:第一階段高氧致血管閉塞停止發育;第二階段相對缺氧誘發VEGF上升、異常新生血管增生,恐致視網膜牽扯剝離而失明。危險因子:低妊娠週數、極低出生體重、長期高濃度氧療。預防重點為謹慎控制血氧、避免過度給氧,並依規範早期眼底篩檢與追蹤。氧療對早產兒是雙面刃:救命但可傷視網膜與肺(支氣管肺發育不良),是新生兒照護的經典權衡。",[24,27,29,31,33],{"term":25,"count":26},"早產兒視網膜病變ROP",1,{"term":28,"count":26},"高氧傷害",{"term":30,"count":26},"視網膜血管增生",{"term":32,"count":26},"VEGF",{"term":34,"count":26},"早產兒篩檢",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-060","有關新生兒各系統生理特徵與調節，下列何者正確？",60,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,109,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-110-1-maternal-pediatric-010","有關受精的敘述，下列何者錯誤？",10,110,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-111-1-maternal-pediatric-048","臨床上可以和嬰幼兒玩躲貓貓遊戲，轉移害怕的注意力，主要是利用其已發展何種概念？",48,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-maternal-pediatric-012","張女士，G 1 P 0 ，由先生陪同待產，出現哭叫打罵情形，先生已陪產一天，出現疲憊不堪情形，詢問護理師他該怎麼辦，下列回應何者最不恰當？",12,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-maternal-pediatric-026","1 歲 3 個月的幼兒通常可通過動作發展之項目，下列敘述何者較適當？",26,113,"2026-09-04",1788510707321]