[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-072","nurse-110-1-maternal-pediatric-072",110,1,72,"有關早產兒呼吸窘迫症候群的護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"胸部 X 光表現為肺擴張不全，毛玻璃樣的變化","胎兒在妊娠週數 32 週大時才開始製造及分泌表面張力素","早產兒呼吸窘迫症候群的臨床表徵為吸氣出現咕嚕聲","呼吸性酸中毒為動脈血液氣體分析 pH＜7.20、PaO 2 ＞50 mmHg","A",null,[],"本題考點是早產兒呼吸窘迫症候群的病生理與臨床表現,要挑出正確敘述。考點在於此症因表面張力素不足使肺泡塌陷,胸部 X 光呈現肺擴張不全與典型毛玻璃樣變化,故選 A。選項 B 錯在表面張力素約在妊娠 24 週開始製造,34～35 週後才充足,並非 32 週才開始製造;C 錯在臨床表徵是呼氣性呻吟而非吸氣咕嚕聲;D 錯在呼吸性酸中毒的判讀依據是 PaCO₂ 上升,而非以 PaO₂＞50 mmHg 界定。判斷關鍵在於掌握表面張力素的成熟時程與影像特徵。","表面張力素由第二型肺泡細胞分泌,能降低肺泡表面張力、防止呼氣末塌陷。早產兒因分泌不足,肺泡反覆塌陷造成通氣不足與缺氧,X 光呈毛玻璃樣與空氣支氣管徵。臨床可見呼吸急促、鼻翼搧動、肋間凹陷與呼氣性呻吟(身體以聲門部分關閉維持肺泡壓)。產前類固醇可促進胎肺成熟,出生後可補充外源性表面張力素。記憶:『少了界面活性劑→肺泡塌、毛玻璃、呼氣哼』。可連結卵磷脂與鞘磷脂比值(L\u002FS ratio)評估肺成熟度複習。",[24,27,29,31],{"term":25,"count":26},"呼吸窘迫症候群",4,{"term":28,"count":10},"表面張力素不足",{"term":30,"count":10},"毛玻璃樣變化",{"term":32,"count":10},"呼氣性呻吟",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-073","小強，男生，1 個月大，因泌尿道感染住院，有關此疾病敘述與照護，下列何者錯誤？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-1-maternal-pediatric-009","陳女士，懷孕 28 週，有一位 4 歲的孩子小明。小明對陳女士說：「我討厭媽媽肚子裡面的小妹妹，因為媽媽只關心她，都不和我玩」。下列護理師回應，何者最適當？",9,111,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-111-2-maternal-pediatric-023","有關各種避孕方法作用原理的敘述，下列何者正確？",23,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-112-2-maternal-pediatric-061","傳染力最低的是那種類型的肺炎？",61,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-maternal-pediatric-035","7 歲的小雄，面對爺爺過世，小雄一直吵著媽媽說爺爺在睡覺，要去找爺爺說話。有關和小雄談論死亡的敘述，下列何者不適當？",35,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-maternal-pediatric-029","有關嬰幼兒給藥方式，下列措施何者最適當？",29,115,"2026-09-04",1788510722276]