[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-053","nurse-106-1-maternal-pediatric-053",106,1,53,"翰翰，剛出生，發現有吸入胎便，有關胎便吸入症候群，下列護理評估與判斷何者正確？",{"A":14,"B":15,"C":16,"D":17},"會導致腸阻塞或腹瀉","會導致呼吸性鹼中毒","會導致肺栓塞及肋膜積水","會導致缺氧及小氣道阻塞","D",null,[],"本題考點為胎便吸入症候群(MAS)的病生理與評估判斷。依機轉,胎兒窘迫時排出胎便並吸入肺部,黏稠胎便阻塞細小氣道形成活瓣效應,造成通氣障礙、肺不張與空氣滯留,導致缺氧及小氣道阻塞,故選D正確。A 腸阻塞或腹瀉是腸道問題,與吸入性肺部病變無關;B 缺氧下應為呼吸性「酸」中毒而非鹼中毒;C 肺栓塞與肋膜積水並非 MAS 的典型病理,MAS 以化學性肺炎、氣胸與持續性肺高壓為主要併發症,故均不選。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734456]