[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":66},"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-057","nurse-111-1-maternal-pediatric-057",111,1,57,"有關早產兒呼吸窘迫症候群的醫療處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"使用氧氣頭罩（O 2 hood）時氧氣流量必須大於 5 L\u002Fmin，以避免二氧化碳滯留","使用持續性呼吸正壓法（CPAP）壓力為 8～12 cmH 2 O，以防止呼氣時肺泡塌陷","持續性呼吸正壓法（CPAP）使用於有自發性呼吸的早產兒","使用持續性呼吸正壓法（CPAP）後仍有呼吸窘迫的早產兒，需插入氣管內管使用呼吸器","B",null,[],"本題考點是早產兒呼吸窘迫症候群（RDS）的呼吸支持參數。依 CPAP 使用原則，早產兒持續性呼吸道正壓一般設定約 4～6 cmH₂O（多不超過 8），選項 B 寫「8～12 cmH₂O」壓力過高、錯誤，故選 B。A 正確，使用氧氣頭罩時須維持足夠氧流量（大於 5 L\u002Fmin）以沖走頭罩內累積的二氧化碳。C 正確，CPAP 需病嬰具自發性呼吸才能運作。D 正確，若 CPAP 後仍呈呼吸窘迫，須插入氣管內管改用呼吸器支持。","RDS 源於表面張力素不足致肺泡塌陷，CPAP 藉持續正壓維持功能性肺餘量、防止呼氣末塌陷；壓力過高反增氣胸與靜脈回流受阻風險，故約 4～6 cmH₂O 為常用範圍。治療階梯：產前類固醇促肺成熟 → 出生後 CPAP → 表面張力素補充 → 失敗則插管上呼吸器。記憶點：CPAP 需自發呼吸、壓力宜低（個位數）、頭罩需高流量排 CO₂。可延伸連結表面張力素治療與早產兒氧氣毒性（ROP、BPD）。",[24,27,30,32,35],{"term":25,"count":26},"表面張力素",5,{"term":28,"count":29},"呼吸窘迫症候群",4,{"term":31,"count":29},"氧氣頭罩",{"term":33,"count":34},"呼氣末肺泡塌陷",2,{"term":36,"count":10},"CPAP壓力設定",[38,42,46,51,56,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-maternal-pediatric-058","有關嬰兒猝死症候群的預防措施，下列敘述何者最不適當？",58,{"webId":43,"stem":44,"number":45,"year":9,"session":34},"nurse-111-2-maternal-pediatric-074","陳小弟，4 歲，診斷急性腎絲球性腎炎（acute glomerulonephritis），下列護理指導何者最適當？",74,{"webId":47,"stem":48,"number":49,"year":50,"session":34},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,112,{"webId":52,"stem":53,"number":54,"year":55,"session":34},"nurse-113-2-maternal-pediatric-026","1 歲 3 個月的幼兒通常可通過動作發展之項目，下列敘述何者較適當？",26,113,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-114-3-maternal-pediatric-030","為 2 歲患有右側中耳炎幼童滴耳藥，下列敘述何者正確？",30,114,3,{"webId":63,"stem":64,"number":45,"year":65,"session":10},"nurse-106-1-maternal-pediatric-074","小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",106,"2026-09-04",1788510735878]