[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-003":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-114-2-產兒科護理學-003","nurse-114-2-maternal-pediatric-003",114,2,3,"下列何者是胎兒第一個有功能的器官？",{"A":14,"B":15,"C":16,"D":17},"心臟","肺臟","腎臟","脾臟","A",null,[],"本題考點在於胚胎發育中最早開始運作的器官。依胚胎學,心臟血管系統是最早分化且發揮功能的系統,原始心管約在受精後第 3 週(妊娠約第 5 週)即開始搏動並推動血液循環,以供應快速發育的胚胎養分,故第一個有功能的器官為 A 心臟。B 肺臟在胎兒期並不執行氣體交換,出生後才開始呼吸功能。C 腎臟雖逐步發育並產生尿液,但功能建立晚於心臟且胎兒代謝廢物主要靠胎盤。D 脾臟屬造血與免疫器官,功能出現更晚。比對發育時序,心臟最早具功能。","原始心管由兩條心內膜管融合而成,約第 22 天開始不規則收縮,是胚胎最早運作的器官,因胚胎體積增大後單靠擴散已無法供養,需循環系統主動運送。胎兒循環三大特殊通道(靜脈導管、卵圓孔、動脈導管)使血液繞過尚未運作的肝與肺,出生後才閉合。",[24,27,30,32],{"term":25,"count":26},"胎兒循環",4,{"term":28,"count":29},"胚胎發育",1,{"term":31,"count":29},"原始心管",{"term":33,"count":29},"心臟血管系統",[35,38,42,47,52,57],{"webId":36,"stem":37,"number":26,"year":9,"session":10},"nurse-114-2-maternal-pediatric-004","懷孕 10 週婦女，以超音波評估胎兒大小，下列測量部位何者最適當？",{"webId":39,"stem":40,"number":41,"year":9,"session":11},"nurse-114-3-maternal-pediatric-050","小玉，1 歲 6 個月，罹患熱性痙攣，住院中突然痙攣發作，下列護理措施何者最適當？",50,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-115-2-maternal-pediatric-044","小美，3 歲，罹患癌症需接受化學藥物治療，住院抽血檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 400\u002Fmm 3 ，下列護理措施何者正確？",44,115,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-107-1-maternal-pediatric-032","楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",32,107,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-108-1-maternal-pediatric-076","副甲狀腺功能低下（Hypoparathyroidism）的兒童會出現的臨床表徵，下列何者正確？",76,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-maternal-pediatric-030","下列何種胎產式之胎頭徑線最短，較能順利分娩？",30,109,"2026-09-04",1788510759954]