[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-008":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-109-1-產兒科護理學-008","nurse-109-1-maternal-pediatric-008",109,1,8,"懷孕 28 週婦女，羊水指數（AFI）小於 5 公分，表示胎兒可能出現下列何種情況？",{"A":14,"B":15,"C":16,"D":17},"水腦","胎兒過重","食道閉鎖","子宮內生長遲滯","D",null,[],"本題考點在於羊水指數（AFI）異常的臨床意義判讀。AFI 正常約 8–18 公分，小於 5 公分屬羊水過少；羊水過少常反映胎盤功能不良、胎兒泌尿道異常，並與子宮內生長遲滯（IUGR）密切相關，因胎盤灌流不足使胎兒尿液（羊水主要來源）減少，故選 D。A 水腦與中樞問題有關，反較常伴隨羊水過多，故錯。B 胎兒過重常見於妊娠糖尿病並易羊水過多，方向相反，故錯。C 食道閉鎖使胎兒無法吞嚥羊水，導致羊水過多而非過少，故錯。核心在辨識 AFI＜5 代表過少，並連結胎盤灌流不足的 IUGR。","羊水由胎兒尿液產生、經吞嚥吸收維持平衡。過少（AFI＜5）：胎盤功能不全、IUGR、腎\u002F泌尿道發育不良、過期妊娠、破水。過多（AFI＞25）：胎兒無法吞嚥（食道閉鎖、神經管缺陷）、母體糖尿病、多胎。記憶對照：「不會製造尿→過少（腎問題、IUGR）」「不會吞嚥→過多（消化道、神經問題）」。",[24,27,29,31,33],{"term":25,"count":26},"羊水指數 AFI",2,{"term":28,"count":10},"羊水過少",{"term":30,"count":10},"子宮內生長遲滯 IUGR",{"term":32,"count":10},"胎盤功能不全",{"term":34,"count":10},"羊水過多鑑別",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-maternal-pediatric-009","王女士懷孕 38 週，胎位為左枕前位（LOA），胎心音的測量最合宜的部位為？",9,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-109-2-maternal-pediatric-025","有關母乳之敘述，下列何者正確？",25,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-maternal-pediatric-039","體外受精與胚胎植入術（IVF-ET）執行過程中，受精卵分裂數量為多少時即可植入子宮內？",39,110,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-1-maternal-pediatric-077","妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",77,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-2-maternal-pediatric-041","楊小妹，1 歲，體重 10 公斤，有關事故傷害預防之護理指導，下列敘述何者最適當？",41,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-maternal-pediatric-005","阮氏女士，懷孕 32 週，有關胎動監測之護理指導，下列何者不適當？",5,113,3,"2026-09-04",1788510713116]