[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-1-產兒科護理學-073","nurse-109-1-maternal-pediatric-073",109,1,73,"罹患開放性動脈導管的病童，較不會出現下列何種症狀？",{"A":14,"B":15,"C":16,"D":17},"心搏過快","肺動脈高壓","紅血球增多症","餵食困難","C",null,[],"本題考點在於開放性動脈導管（PDA）的血流動力學與臨床表現。依 PDA 病生理，未閉合的動脈導管造成主動脈到肺動脈的左向右分流，屬非發紺型心臟病，肺血流增加會導致肺動脈高壓、心搏過快與因心臟負荷增加造成的餵食困難、活動易喘。C 的紅血球增多症是身體對慢性缺氧的代償，主要出現在發紺型（右向左分流）心臟病，PDA 為非發紺型、不缺氧，故較不會出現紅血球增多症，選 C。A 心搏過快、B 肺動脈高壓、D 餵食困難皆為 PDA 心衰竭相關表現，會出現。故較不會出現者為 C。","分流方向決定表現：左向右分流（PDA、心房中隔缺損、心室中隔缺損）＝非發紺型，肺血流過多→肺高壓、心衰竭、生長遲滯；右向左分流（如法洛氏四重症）＝發紺型，慢性缺氧→代償性紅血球增多與杵狀指。PDA 典型體徵是連續性機械樣心雜音與洪脈（bounding pulse），因舒張期血液持續分流入肺動脈。",[24,27,29,31],{"term":25,"count":26},"開放性動脈導管 PDA",3,{"term":28,"count":10},"左向右分流\u002F非發紺型",{"term":30,"count":10},"肺動脈高壓與心衰竭",{"term":32,"count":10},"紅血球增多症屬發紺型代償",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-074","下列何者血液疾病不屬於體染色體隱性遺傳？",74,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-1-maternal-pediatric-010","有關受精的敘述，下列何者錯誤？",10,110,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-110-2-maternal-pediatric-024","白女士 G 2 P 2 ，陰道生產後一週，此時惡露的評估正常為何？①白色 ②粉紅色 ③1 小時內產墊上的血液約為 5 公分 ④30 分鐘浸溼整片產墊",24,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-111-2-maternal-pediatric-062","有關罹患呼吸系統疾病兒童接受胸腔物理治療之敘述，下列何者最適當？",62,111,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-112-3-maternal-pediatric-026","小明，1 歲 8 個月大，體重 12 公斤，不慎被熱水燙到，導致前胸 15%的燒傷，立即送醫後經評估為二度燒傷，關於小明的照護措施，下列何者錯誤？",26,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-020","王女士使用催產素引產，胎兒監測器呈現宮縮頻率及持續時間為 60\" \u002F1'30\" -2'，宮縮時壓力100 mmHg，子宮頸口一直停留在4公分，胎心音為135～150 bpm，下列何者為最優先處置？",20,114,"2026-09-04",1788510713842]