[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-064":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-112-2-產兒科護理學-064","nurse-112-2-maternal-pediatric-064",112,2,64,"曹小妹為足月產新生兒，有關其出生後會出現之循環變化，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"血氧濃度降低，讓動脈導管收縮而關閉","臍靜脈出生後立即關閉形成靜脈韌帶","全身血管阻力增加，肺動脈阻力降低","卵圓孔自然關閉是因為右心房壓力高於左心房壓力","C",null,[],"本題考點為新生兒出生後的循環轉換。依胎兒循環轉為新生兒循環的生理，出生後肺部擴張使肺血管阻力降低、肺血流增加，同時臍帶結紮使全身血管阻力（體循環阻力）上升，故選 C。A 錯在出生後肺呼吸使血氧濃度上升，升高的氧分壓才是促使動脈導管收縮關閉的刺激，並非血氧降低。B 錯在臍靜脈閉鎖後形成的是肝圓韌帶（ligamentum teres），靜脈韌帶是由靜脈導管閉鎖形成，且非「立即」完全關閉。D 錯在卵圓孔關閉是因肺血回流使左心房壓力升高並超過右心房，左高於右才壓合卵圓孔，敘述壓力方向相反。","出生循環三大轉變：肺擴張→肺阻力驟降、肺血流增；臍帶結紮→體循環阻力升、左心房壓升；氧分壓上升與前列腺素下降→動脈導管收縮關閉。胎兒三大分流的去向：卵圓孔→卵圓窩、動脈導管→動脈韌帶、靜脈導管→靜脈韌帶、臍靜脈→肝圓韌帶。記憶關鍵「左心壓翻轉高於右心」是卵圓孔功能性關閉的驅動力。",[24,27,29,32],{"term":25,"count":26},"胎兒循環轉換",3,{"term":28,"count":10},"卵圓孔關閉",{"term":30,"count":31},"肺血管阻力",1,{"term":33,"count":31},"動脈導管關閉",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-065","劉小弟，5 歲，因心室中膈缺損長期服用毛地黃，入院行右心導管檢查，有關劉小弟之照護措施，何者最正確？",65,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-maternal-pediatric-031","當嬰幼兒初次接觸陌生人或新環境，會表現出接受或退縮的態度。此為氣質評估內容中那一個項目？",31,113,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-113-3-maternal-pediatric-025","毛女士接受人工受精治療後懷孕併多胞胎妊娠，將接受減胎術，毛女士表示很擔心嬰靈會對自己有不好的影響，下列護理師之回應何者最適當？",25,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-115-1-maternal-pediatric-023","陰道生產之早期產後出血定義，是以生產後 24 小時內出血量至少超過多少？",23,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-047","小銘，2 歲 6 個月，在接受丹佛Ⅱ發展測驗（DDST-Ⅱ）前，護理師向母親解釋進行此測驗的主要目的，除精細及粗動作的評估之外，還包含下列何者？",47,106,{"webId":59,"stem":60,"number":31,"year":61,"session":31},"nurse-108-1-maternal-pediatric-001","王女士想了解溫柔生產的照護方式，下列護理指導何者錯誤？",108,"2026-09-04",1788510748528]