[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-054":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-111-2-產兒科護理學-054","nurse-111-2-maternal-pediatric-054",111,2,54,"早產兒若氧氣濃度超過 60%，PaO 2 \u003C 60 mmHg 時，醫囑使用持續性氣道正壓呼吸（CPAP），下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"適用於可自行呼吸之呼吸窘迫症候群早產兒","給予 4～7 cmH 2 O 壓力","可增加早產兒肺功能性肺餘容積","防止吸氣時肺泡塌陷","D",null,[],"本題考點為早產兒持續性氣道正壓(CPAP)的作用原理,答案選不適當者。考點在於 CPAP 的作用時相。CPAP 在整個呼吸週期提供持續正壓,主要作用於「呼氣末」維持肺泡張開、防止呼氣末肺泡塌陷,而非 D 所述「防止吸氣時肺泡塌陷」,故 D 敘述錯誤、不適當。A CPAP 適用於能自行呼吸的呼吸窘迫症候群早產兒,正確;B 一般給予約 4~7 cmH₂O 壓力,正確;C 可增加功能性肺餘容積(FRC)、改善氧合,正確。故不適當者為 D。","呼吸窘迫症候群因表面張力素不足,肺泡在呼氣末易塌陷;CPAP 維持呼氣末正壓,撐開肺泡、增加 FRC 與換氣面積,改善氧合並減少呼吸功。關鍵在「呼氣末」防塌陷,對應肺泡在呼氣時最易萎陷的生理。記憶:CPAP 全程正壓、重點在呼氣末撐開肺泡,與 PEEP 概念相通。",[24,27,29,32],{"term":25,"count":26},"呼吸窘迫症候群",4,{"term":28,"count":10},"呼氣末肺泡塌陷",{"term":30,"count":31},"CPAP",1,{"term":33,"count":31},"功能性肺餘容積",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-055","對於高胱胺酸尿症（homocystinuria, HCU）兒童的長期照護，下列何者錯誤？",55,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-maternal-pediatric-071","罹患癌症之嬰幼兒，需要接受骨髓穿刺檢查，最常選擇的部位為何？",71,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-3-maternal-pediatric-005","有關羊膜穿刺術（amniocentesis）的檢查時機及情況，下列敘述何者正確？",5,3,{"webId":50,"stem":51,"number":48,"year":52,"session":31},"nurse-114-1-maternal-pediatric-003","陳女士月經週期規律，偶睡前服用鎮靜劑，因月經過期10天，自行購買驗孕棒進行妊娠試驗，下列敘述何者正確？",114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-007","有關引產之適應症，下列何者錯誤？",7,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-maternal-pediatric-071","章小妹，出生 3 天的足月兒，疑似罹患先天性腎上腺增生症，下列敘述何者錯誤？",106,"2026-09-04",1788510739465]