[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-036":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-113-3-產兒科護理學-036","nurse-113-3-maternal-pediatric-036",113,3,36,"有關新生兒胎便吸入症候群的症狀及處置之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"皮膚、指甲，或臍帶有胎便沾染痕跡","可能發生呼吸窘迫的症狀","羊水有胎便，嬰兒娩出後，立即以甦醒球（ambu bag）加壓刺激呼吸","動脈血液氣體分析顯示呼吸衰竭，需矯正呼吸性酸中毒","C",null,[],"本題考點在於胎便吸入症候群（MAS）的表徵與正確處置。本題為反向題，錯誤敘述為 C。依新生兒復甦原則，羊水染有胎便且新生兒活力不佳時，不可立即以甦醒球（ambu bag）正壓加壓刺激呼吸，以免把胎便推入更深部氣道、加重阻塞與化學性肺炎，故 C 錯誤。A 皮膚、指甲或臍帶被胎便染黃是典型沾染徵象，正確；B 胎便阻塞氣道造成通氣障礙，可出現呼吸窘迫，正確；D 嚴重者動脈血氣分析呈呼吸衰竭與呼吸性酸中毒而需矯正，正確。","MAS 機轉為胎兒窘迫時腸蠕動增加、肛門括約肌鬆弛而排出胎便，喘息式呼吸吸入含胎便羊水。胎便造成機械性阻塞（球閥效應致氣體滯留、氣胸）、去活化肺表面張力素、化學性發炎。故處置重點是先清理呼吸道再視情況給氧與正壓，而非未清理即盲目加壓。可對比早產兒呼吸窘迫症候群屬表面張力素不足，兩者病因不同。",[24,27,29,32],{"term":25,"count":26},"呼吸性酸中毒",6,{"term":28,"count":10},"胎便吸入症候群",{"term":30,"count":31},"新生兒復甦",1,{"term":33,"count":31},"氣道阻塞",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-037","有關嬰兒玫瑰疹（roseola）的評估，下列敘述何者錯誤？",37,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"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？",33,114,2,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-115-1-maternal-pediatric-027","小妍，16 歲，是長期厭食症患者，此次嚴重營養不良而入院治療，有關厭食症的症狀或行為，下列敘述何者最不適當？",27,115,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-106-2-maternal-pediatric-045","廷廷，4 歲，自前年冬天開始時常出現流鼻血現象，有關流鼻血時的護理指導，下列何者不適合？",45,106,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,108,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-109-1-maternal-pediatric-043","根據羅文費（Viktor Lowenfeld）的兒童繪畫發展階段論，一般兒童從幾歲開始對塗鴉的點、線、圈等加上意義或命名？",43,109,"2026-09-04",1788510753299]