[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-112-1-產兒科護理學-054","nurse-112-1-maternal-pediatric-054",112,1,54,"有關早產兒視網膜病變的高危險群與症狀，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"通常出現在出生體重在 1,500 公克以下","長期使用呼吸器與高濃度氧氣暴露為危險因子","第一、二期為輕度病變，會自行好轉，一般不需治療，少有視力障礙","視網膜完全剝離，可經由鞏膜扣壓術、玻璃體內切除術獲得治癒","D",null,[],"本題考點為早產兒視網膜病變（ROP）的危險因子與分期預後。ROP 因未成熟視網膜血管在高氧環境下異常增生所致，出生體重越低、氧氣暴露越久風險越高，A、B 敘述正確。第一、二期屬輕度，多能自行退化、少留視力障礙，C 也正確。錯誤敘述為 D：當病程進展到第五期視網膜完全剝離時，即使施行鞏膜扣壓術或玻璃體切除術，成功復位與恢復視力的機會都很低，預後不佳，並非可獲治癒，故選 D。","ROP 分五期，關鍵在「氧誘導血管增生」：高氧使既有血管收縮閉塞，缺氧區釋放 VEGF 引發新生血管與纖維增生，最終牽引視網膜剝離。臨床強調控制早產兒氧氣濃度與監測，第五期手術多屬保住眼球結構而非復明。記憶對比：一二期觀察、三期需治療（雷射／抗 VEGF）、四五期已剝離預後差。",[24,26,28,30],{"term":25,"count":10},"早產兒視網膜病變 ROP",{"term":27,"count":10},"高氧與 VEGF 血管增生",{"term":29,"count":10},"視網膜剝離分期",{"term":31,"count":10},"鞏膜扣壓術與玻璃體切除術",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-055","吳小弟血型為 B 型，因血型與 O 型的母親不合而造成溶血，下列敘述何者正確？",55,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-maternal-pediatric-071","有關苯酮尿症病童之臨床症狀，下列敘述何者正確？",71,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-035","小敏妊娠週數26週出生，醫師診斷為壞死性腸炎（necrotizing enterocolitis, NEC），有關其護理照護及處置之敘述，下列何者最不適當？",35,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-maternal-pediatric-033","當早產兒出現「呼吸暫停」徵象，下列護理措施何者錯誤？",33,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-037","王先生與太太結婚 3 年一直沒有孩子，醫師請他接受精液分析檢查，有關收集精液之護理指導，下列何者正確？",37,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-maternal-pediatric-071","有關胎血循環的血流方向，下列敘述何者正確？",107,"2026-09-04",1788510742903]