[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-060":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-060","nurse-108-2-maternal-pediatric-060",108,2,60,"有關新生兒各系統生理特徵與調節，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"IgG 不會通過母體胎盤到達新生兒體內","女嬰出生後，陰道出現紅色分泌物，此徵象乃是受母親雌激素中斷所影響","出生後肺血流增加，肺靜脈血回流至左心房血流量與壓力增加，使靜脈導管關閉","新生兒黃疸主要是由於體內甲硫胺酸（methionine）量不足或未活化，而導致結合型膽紅素無法排出","B",null,[],"本題考點在於新生兒各系統的生理特徵。依母體荷爾蒙撤退對新生兒的影響,女嬰出生後因失去母體高濃度雌激素的支持,子宮內膜剝落,可出現少量紅色陰道分泌物(假月經),此為正常生理現象,故正確者為B。A錯:IgG是唯一能通過胎盤的免疫球蛋白,提供新生兒被動免疫,並非不會通過;C錯:出生後肺血流增加、肺靜脈回流左心房壓上升導致的是卵圓孔功能性關閉,而非靜脈導管(ductus venosus)關閉,機轉對象錯置;D錯:新生兒黃疸主因是肝臟葡萄糖醛酸轉移酶尚未成熟、非結合型膽紅素無法結合排出,與甲硫胺酸無關。考點在於辨識「假月經」為正常荷爾蒙撤退現象。","母體荷爾蒙撤退相關新生兒現象:女嬰假月經與乳房腫脹、男女嬰乳房分泌(witch's milk),數日至數週自解。胎兒循環出生後轉變:卵圓孔因左心房壓上升功能性關閉、動脈導管因血氧上升收縮閉合、靜脈導管閉合成靜脈韌帶。生理性黃疸源於膽紅素生成多加肝臟結合能力(UGT酶)未熟,約出生後2–3天出現、1週漸退。IgG過胎盤、IgM不過(IgM升高提示宮內感染)。",[24,27,30,32,34],{"term":25,"count":26},"生理性黃疸",6,{"term":28,"count":29},"新生兒生理",1,{"term":31,"count":29},"假月經荷爾蒙撤退",{"term":33,"count":29},"IgG胎盤通過",{"term":35,"count":29},"卵圓孔功能性關閉",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-maternal-pediatric-061","小健，國中一年級，罹患第一型糖尿病（type 1 diabetes mellitus），有關糖尿病照護，下列敘述何者正確？",61,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-109-1-maternal-pediatric-077","王小妹，7 歲，被診斷泌尿道感染（Urinary Tract Infection），出院時醫囑開立 7 天份的口服抗生素 amoxicilline，下列護理指導何者適當？",77,109,{"webId":47,"stem":48,"number":49,"year":50,"session":29},"nurse-110-1-maternal-pediatric-011","有關待產婦之照顧，下列敘述何者正確？",11,110,{"webId":52,"stem":53,"number":54,"year":55,"session":29},"nurse-111-1-maternal-pediatric-049","小苗，5 歲，因小腿蜂窩性組織炎住院接受治療，護理師在進行「兒童疼痛概念」發展之評估時，下列敘述何者最適當？",49,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-maternal-pediatric-013","陳女士懷孕 39 週入院待產，體溫 36.5℃、心跳 74 次／分、呼吸 24 次／分，血壓 120\u002F85 mmHg。有關待產時使用腰椎硬膜外麻醉（epidural analgesia）時，麻醉前後注意事項，下列何者錯誤？",13,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-maternal-pediatric-027","陳小妹在媽媽的麵店玩耍，不小心撞到端著熱湯的媽媽，左手臂被燙傷，燙傷部分表皮皮膚微紅且出現水泡，當下立即處理何者最適當？",27,113,"2026-09-04",1788510707324]