[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-產兒科護理學-055","nurse-111-1-maternal-pediatric-055",111,1,55,"有關新生兒胎便吸入症候群的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"早產兒較常發生，主因是在子宮內缺氧","黏稠的胎便可能阻塞呼吸道","可能肺泡過度擴張，甚至破裂造成氣胸","呼吸窘迫的症狀通常在出生後很快就出現","A",null,[],"本題考點是胎便吸入症候群（MAS）的好發族群與病生理。依 MAS 特性，其好發於足月兒與過期產兒，因胎兒成熟或子宮內窘迫導致腸蠕動與括約肌鬆弛而在羊水中解胎便，選項 A 稱「早產兒較常發生」錯誤，故選 A。B 正確，黏稠胎便可阻塞呼吸道形成栓塞。C 正確，胎便造成的球閥效應使部分肺泡過度充氣、可能破裂導致氣胸。D 正確，吸入後常在出生後短時間內即出現呼吸窘迫症狀。","MAS 機轉：胎兒缺氧或成熟促使解胎便並喘息吸入，胎便造成機械性阻塞（球閥效應致氣體滯留與氣胸）、化學性肺炎與表面張力素去活化，並可續發肺高壓（PPHN）。因早產兒腸道尚未成熟、解胎便機會低，故 MAS 反而少見於早產、常見於過期產。記憶對比：早產兒怕 RDS（表面張力素不足）、過期兒怕 MAS。可延伸連結持續性肺高壓與表面張力素相關疾病。",[24,27,29,31,33],{"term":25,"count":26},"胎便吸入症候群",3,{"term":28,"count":10},"過期產",{"term":30,"count":10},"球閥效應氣胸",{"term":32,"count":10},"子宮內缺氧",{"term":34,"count":10},"化學性肺炎",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-056","依據娜姬（Nagy）的理論，9 歲兒童對死亡的概念為何？",56,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-111-2-maternal-pediatric-072","小莉，因診斷有食道氣管瘻管（tracheo-esophageal fistula）而住加護病房，欲執行鼻胃管放置，下列護理措施之敘述，何者較不適當？",72,2,{"webId":46,"stem":47,"number":48,"year":49,"session":44},"nurse-112-2-maternal-pediatric-006","葉女士，懷孕 33 週，在正常體重增加與胎兒發展的情況下，逐漸膨大的子宮會使她姿勢發生下列何種改變？",6,112,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-113-2-maternal-pediatric-024","有關人類乳突病毒（human papillomavirus, HPV）之敘述，下列何者錯誤？",24,113,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-3-maternal-pediatric-028","小旭，1 歲 3 個月，阿嬤照顧，護理師予事故傷害之預防指導，下列敘述何者最適當？",28,114,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-maternal-pediatric-072","小明，1 個月大，罹患膽道閉鎖，因發燒、呼吸喘、脾腫大而住院治療，接受鼻胃管灌食，每餐灌食量為 150 mL，護理師灌食前反抽出胃殘餘量 50 mL，下列護理措施何者正確？",106,"2026-09-04",1788510735859]