[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-110-1-產兒科護理學-066","nurse-110-1-maternal-pediatric-066",110,1,66,"有關胎兒出生後的心臟血管變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"左心房壓力大於右心房，導致卵圓孔瓣膜關閉","臍動脈閉合，形成肝圓韌帶","左心房與左心室的壓力增加","動脈導管於出生後 1～3 個月閉塞，形成動脈韌帶","B",null,[],"本題考點是胎兒出生後的循環轉換,要找出錯誤敘述。考點在於臍血管閉鎖後形成的韌帶對應:臍靜脈閉合形成肝圓韌帶,臍動脈閉合則形成臍側韌帶,故『臍動脈閉合形成肝圓韌帶』的配對錯誤,選 B。選項 A 正確,出生後肺循環建立使左心房壓大於右心房,推動卵圓孔瓣膜關閉;C 正確,肺靜脈回流增加使左心房與左心室壓力上升;D 正確,動脈導管功能性關閉後約 1～3 個月結構閉塞形成動脈韌帶。判斷關鍵在於臍動脈與臍靜脈閉鎖後的構造對應不可混淆。","出生瞬間第一口呼吸讓肺泡擴張、肺血管阻力驟降,肺血流增加、左側壓力上升,連帶關閉卵圓孔;臍帶結紮切斷胎盤低阻循環,體循環阻力上升。閉鎖對應的記憶表:臍靜脈→肝圓韌帶、臍動脈→臍側韌帶、靜脈導管→靜脈韌帶、動脈導管→動脈韌帶、卵圓孔→卵圓窩。動脈導管先功能性收縮(受血氧上升等因素影響),後才結構性閉塞。可延伸複習開放性動脈導管與持續性胎兒循環的病生理。",[24,27,30,32],{"term":25,"count":26},"胎兒循環轉換",3,{"term":28,"count":29},"卵圓孔關閉",2,{"term":31,"count":10},"臍靜脈與肝圓韌帶",{"term":33,"count":10},"臍動脈",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-maternal-pediatric-067","有關血友病住院病童及其家屬之照顧，下列敘述何者較適當？",67,{"webId":40,"stem":41,"number":26,"year":42,"session":10},"nurse-111-1-maternal-pediatric-003","下列何者不是全民健康保險於第一妊娠期婦女所提供之實驗室檢驗項目？",111,{"webId":44,"stem":45,"number":46,"year":42,"session":29},"nurse-111-2-maternal-pediatric-017","使用催產素催生的待產婦女，當發生下列何種情況仍可持續使用催產素促進產程？",17,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-112-2-maternal-pediatric-055","黃小妹為 35 週出生的早產兒，罹患高膽紅素血症（Hyperbilirubinemia），有關傳統照光機執行照光治療的護理措施，下列敘述何者錯誤？",55,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-3-maternal-pediatric-029","小華會把樂高分享給小美，兩人會交換玩具，但各玩各的，是屬於兒童遊戲發展那一個階段？",29,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-1-maternal-pediatric-023","陰道生產之早期產後出血定義，是以生產後 24 小時內出血量至少超過多少？",23,115,"2026-09-04",1788510722222]