[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-035":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":26},"nurse-114-3-產兒科護理學-035","nurse-114-3-maternal-pediatric-035",114,3,35,"小敏，出生後診斷胎便吸入症候群（meconium aspiration syndrome），有關護理照護措施，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"觀察其呼吸狀態，是否有呼吸窘迫徵象","追蹤動脈血液氣體分析結果，依醫囑矯正鹼中毒，補充體液","定期追蹤 X 光肺部檢查的結果，是否出現氣胸","若呼吸未改善則考慮插管，並執行氣管內胎便抽吸","B",null,[],"本題考點在於胎便吸入症候群（MAS）的照護，本題為反向題。不適當者為 B：MAS 因胎便阻塞氣道、通氣不足與缺氧，常導致的是代謝性「酸中毒」而非鹼中毒，故「依醫囑矯正鹼中毒」的敘述方向錯誤，應依血氣分析結果矯正酸中毒並維持組織灌流與體液。A 正確，須密切觀察呼吸窘迫徵象（呻吟、鼻翼搧動、胸凹）；C 正確，MAS 易併發氣胸，應定期追蹤胸部 X 光；D 正確，呼吸持續未改善時可插管並執行氣管內胎便抽吸。故選 B。","MAS 發生於胎兒窘迫或過熟兒，胎便吸入使氣道阻塞產生「球閥效應」造成氣體滯留與氣胸、化學性肺炎與表面張力素失活，並易誘發新生兒持續性肺高壓（PPHN）。缺氧與換氣不足使血氣呈低血氧、高二氧化碳與代謝性酸中毒，故照護目標是改善氧合與通氣、矯正酸中毒，而非鹼中毒。嚴重者需機械通氣、必要時 iNO 或 ECMO。",[24,27,29,31],{"term":25,"count":26},"胎便吸入症候群 MAS",1,{"term":28,"count":26},"代謝性酸中毒(非鹼中毒)",{"term":30,"count":26},"併發氣胸與 PPHN",{"term":32,"count":26},"血氣分析與氧合處置",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-036","有關嬰兒玫瑰疹（roseola infantum）在發疹期的敘述，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-032","依照艾瑞克森（Erikson）心理社會發展理論，那一個年齡層兒童會將住院或生病病因詮釋為對他的懲罰而產生罪惡感？",32,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-maternal-pediatric-076","李小妹，9 歲，剛被診斷為惡性腦瘤，母親擔心李小妹知道病情之後會傷心，所以不僅隱瞞病情，還整天面帶笑容，而李小妹卻說：「我這麼不舒服，我媽還笑嘻嘻，她有愛我嗎？」下列護理措施何者較適當？",76,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-034","有關評估 32 週妊娠糖尿病孕婦過去一個月間血糖控制之成效，下列何項檢測最佳？",34,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-078","有關皮肌炎（dermatomyositis）兒童的護理評估，下列何者錯誤？",78,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-maternal-pediatric-032","陳女士妊娠 30 週，因有早產預兆而入院安胎，依醫囑使用 Ritodrine（Yutopar）靜脈點滴注射。有關此藥物的副作用，下列何者錯誤？",110,"2026-09-04",1788510762553]