[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-113-3-產兒科護理學-033","nurse-113-3-maternal-pediatric-033",113,3,33,"有關壞死性結腸炎（necrotizing enterocolitis）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"腸黏膜壞死後，以革蘭氏陽性菌最常侵犯腸壁","常侵犯部位是在幽門附近及小腸近端處","引起的原因是腸黏膜缺血缺氧","優先採取的處置是以鼻胃管餵食半奶的嬰兒配方奶","C",null,[],"本題考點在於新生兒壞死性結腸炎(NEC)的病因與病理。其核心機轉為腸黏膜缺血缺氧,導致黏膜屏障受損、細菌侵入與腸壁積氣,故 C 正確。A 侵犯腸壁的多為革蘭氏陰性菌而非陽性菌;B 好發部位在迴腸末端與近端結腸,而非幽門與小腸近端;D 處置應先禁食(NPO)、以鼻胃管減壓並靜脈營養,而非以配方奶餵食,三者皆錯誤。","NEC 好發於早產兒,危險因子包括腸道缺血、配方奶餵食與細菌移生。典型三聯徵為腹脹、胃殘餘增加與血便,腹部 X 光可見腸壁積氣(pneumatosis intestinalis)。母乳可降低發生率。",[24,26,29,31],{"term":25,"count":10},"腸壁積氣",{"term":27,"count":28},"壞死性結腸炎 NEC",1,{"term":30,"count":28},"腸黏膜缺血缺氧",{"term":32,"count":28},"禁食減壓",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-maternal-pediatric-034","楊小妹，妊娠週數 31 週，出生體重 1,628 公克，有關楊小妹出生後的生理特徵，下列敘述何者錯誤？",34,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-maternal-pediatric-030","氣質評估可提供一個更全面了解個體差異的途徑，有關氣質評估之敘述，下列何者正確？",30,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-115-1-maternal-pediatric-024","進入青春期的 17 歲少女一直無月經來潮，其可能原因為何？",24,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-maternal-pediatric-042","衛生福利部國民健康署，2013 年提倡嬰幼兒健康促進及保護計畫目標，針對 1～14 歲兒童之目標，期望減少那一項之死亡率？",42,106,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-108-1-maternal-pediatric-006","有關胚胎附屬器官發育的敘述，下列何者正確？",6,108,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-109-1-maternal-pediatric-040","有關更年期的賀爾蒙變化，下列何者正確？",40,109,"2026-09-04",1788510753268]