[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-112-3-產兒科護理學-033","nurse-112-3-maternal-pediatric-033",112,3,33,"汪小弟為 29 週又 5 天出生的早產兒，體重 1,310 公克，有關各系統的生理特徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"免疫力較低，無法經由胎盤獲得 IgA","β-尿苷酸酶的量不足，易發生高膽紅素血症","心室中膈缺損是最常見的心臟血管問題","中樞神經系統不成熟，易發生呼吸暫停現象","D",null,[],"本題考點在於早產兒（29 週又 5 天）各系統的生理特徵。早產兒中樞神經系統尚未成熟，呼吸中樞調節不穩，易發生呼吸暫停（apnea）現象，故 D 正確。A 錯在能經胎盤獲得的是 IgG（且早產兒因妊娠後期才大量轉移而 IgG 偏低），敘述將重點誤置且邏輯不通；B 錯在造成高膽紅素血症的是 β-葡萄糖醛酸苷酶（β-glucuronidase）活性過高使膽紅素腸肝循環增加，而非其量「不足」；C 錯在早產兒最常見的心臟血管問題為開放性動脈導管（PDA），而非心室中膈缺損。","早產兒呼吸暫停源於呼吸中樞不成熟，臨床以咖啡因（caffeine）等甲基黃嘌呤類刺激呼吸中樞治療。高膽紅素血症機轉為肝臟結合能力不足加上 β-glucuronidase 活性高使結合型膽紅素被水解、再吸收（腸肝循環增加）。早產兒因動脈導管平滑肌與前列腺素調控不成熟，PDA 發生率高。",[24,27,29,32],{"term":25,"count":26},"早產兒呼吸暫停",4,{"term":28,"count":10},"開放性動脈導管 PDA",{"term":30,"count":31},"中樞神經未成熟",1,{"term":33,"count":31},"高膽紅素血症機轉",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-034","有關瀕死兒童家庭的照護敘述，下列何者不適當？",34,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-maternal-pediatric-030","張小妹，1 歲，因發燒入院，護理師欲進行生命徵象測量，有關生命徵象測量相關護理，下列何者最適切？",30,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-114-1-maternal-pediatric-024","在已開發國家中會以那些措施預防愛滋病的母子垂直感染？①妊娠期接受完整的抗愛滋病毒藥物治療    ②採剖腹生產   ③新生兒給與預防性口服抗愛滋病毒藥物     ④分娩前母親血中病毒量＜400 copies\u002FmL者方可哺餵母乳",24,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-maternal-pediatric-022","有關高危險妊娠婦女的相關診斷，下列何者胎兒先天性畸形的機率較高？",22,115,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-107-1-maternal-pediatric-016","有關產婦第二產程之護理措施，下列何者正確？",16,107,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-108-1-maternal-pediatric-050","有關細菌性腦膜炎的護理措施，下列何者錯誤？",50,108,"2026-09-04",1788510745546]