[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-005":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-005","nurse-114-2-maternal-pediatric-005",114,2,5,"有關胎兒生長過程的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"胎血循環的三個通道使大多數血液避免進入腎臟","懷孕第 12 週外生殖器官可以清楚分辨性別","胎兒唯一可以自行製造的免疫球蛋白是 IgM","妊娠第 34 週胎兒肺臟開始製造表面張力素，防止肺泡塌陷","B",null,[],"本題考點在於胎兒生長各面向的正確概念。依生殖系統分化時序,外生殖器約於懷孕第 12 週發育完成、可經超音波清楚分辨性別,故選 B。A 錯在胎兒循環三通道(靜脈導管、卵圓孔、動脈導管)是使血液避開尚未運作的肝臟與肺臟,而非避開腎臟。C 錯在胎兒雖能自製 IgM,但亦可製造少量 IgA,故稱 IgM 為「唯一」自製免疫球蛋白並不精確;IgG 則主要來自母體經胎盤。D 錯在肺表面張力素約在妊娠第 24 週即開始製造、約 34–35 週趨於成熟,而非第 34 週才開始製造。比對後唯 B 敘述正確。","性別分化:第 7 週前男女外觀相同,受 SRY 基因與睪固酮影響第 9–12 週逐漸分化,約 12 週後超音波辨識度提高。表面張力素(surfactant)由第二型肺泡細胞分泌,卵磷脂\u002F鞘磷脂比(L\u002FS ratio)≥2 代表肺成熟,是早產兒呼吸窘迫評估關鍵。",[24,27,30,32],{"term":25,"count":26},"肺表面張力素",3,{"term":28,"count":29},"外生殖器分化",1,{"term":31,"count":29},"胎兒循環三通道",{"term":33,"count":29},"免疫球蛋白 IgM 與 IgG",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-006","護理師為 32 週的李女士執行無壓力試驗（Non-stress test, NST），結果為 30 分鐘內有 5 次以上胎動，胎心率基準線由 130 bpm 上升至 150 bpm，伴隨每次胎動，胎心率增加 20 次，且持續 20 秒以上，下列何者為其判讀結果？",6,{"webId":40,"stem":41,"number":10,"year":42,"session":29},"nurse-115-1-maternal-pediatric-002","有關妊娠期間孕婦血液組成的變化，下列敘述何者正確？",115,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-115-2-maternal-pediatric-046","小金，5 個月大，罹患甲狀腺功能低下症，目前接受 L-thyroxine 治療，有關小金的居家照護，下列敘述何者錯誤？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-107-1-maternal-pediatric-034","承上題，針對何女士的狀況，下列措施何者較適當？",34,107,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-108-1-maternal-pediatric-078","張小弟，2 個月大，經由鼻胃管餵食，下列有關管灌餵食的敘述何者正確？",78,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-maternal-pediatric-032","子癇前症之症狀，下列何者錯誤？",32,109,"2026-09-04",1788510759968]