[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-3-產兒科護理學-033","nurse-114-3-maternal-pediatric-033",114,3,33,"一位 32 週的早產兒在餵食過程中出現腹脹、吐奶和血便。下列那一種情況最有可能是早產兒的併發症？",{"A":14,"B":15,"C":16,"D":17},"新生兒黃疸","壞死性小腸結腸炎（NEC）","呼吸窘迫症候群（RDS）","早產兒視網膜病變（ROP）","B",null,[],"本題考點在於早產兒餵食後出現腹脹、吐奶與血便的典型併發症辨識。這組症狀是壞死性小腸結腸炎（NEC）的經典表現：腸道不成熟加上缺血與餵食，導致腸壁發炎壞死，出現腹脹、餵食不耐、嘔吐與血便，故正解 B。A 新生兒黃疸以皮膚鞏膜黃染為主，不會血便；C 呼吸窘迫症候群（RDS）因表面張力素不足，表現為呼吸急促、胸凹與呻吟等呼吸症狀；D 早產兒視網膜病變（ROP）是視網膜血管異常增生，與腸胃道症狀無關。故選 B。","NEC 好發於早產兒與極低體重兒，病生理為腸道缺血、黏膜屏障不成熟與細菌移生（配方奶餵食是危險因子），造成腸壁積氣（X 光可見 pneumatosis intestinalis）甚至穿孔。經典三徵：腹脹、胃殘餘量增加／吐奶、血便。處置為禁食、放置鼻胃管減壓、抗生素與靜脈營養，嚴重穿孔需手術。母乳餵養具保護作用。",[24,26,29,31],{"term":25,"count":10},"腸壁積氣",{"term":27,"count":28},"壞死性小腸結腸炎 NEC",1,{"term":30,"count":28},"早產兒腸道不成熟",{"term":32,"count":28},"腹脹、吐奶、血便三徵",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-034","有關早產兒呼吸暫停的照護處置，下列敘述何者錯誤？",34,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-030","王小弟，足月產，疑似左鎖骨骨折，有關其照護，下列敘述何者最適當？",30,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-106-1-maternal-pediatric-074","小芸，1 歲半，因罹患克隆氏症（Crohn’s disease）而接受人工結腸造瘻口手術。小芸母親第一次參與學習腸造瘻口居家護理技巧，下列護理措施及指導何者錯誤？",74,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-032","有關硫酸鎂（MgSO 4 ）在安胎使用的敘述，下列何者錯誤？",32,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-076","5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",76,108,{"webId":60,"stem":61,"number":41,"year":62,"session":28},"nurse-110-1-maternal-pediatric-030","有關女陰癌之敘述，下列何者正確？",110,"2026-09-04",1788510762522]