[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-063":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-063","nurse-106-1-maternal-pediatric-063",106,1,63,"有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"紅血球增多","低血氧及發紺症狀","上下肢血壓相差約 20 mmHg","心臟聽診時，第二心音加重","C",null,[],"本題考點是大動脈轉位的病理生理與其他先天性心臟病表徵的鑑別。TGA因主動脈接右心室、肺動脈接左心室,體肺循環平行,依此造成嚴重低血氧與發紺(B對),長期缺氧刺激紅血球生成而增多(A對),又因大血管前後重疊使第二心音單一而加重(D對)。C「上下肢血壓相差約20 mmHg」是主動脈窄縮的典型表現,反映狹窄段前後壓差,與TGA無關,故為錯誤選項。TGA的關鍵在體肺循環分隔,需靠心房中膈缺損或開放性動脈導管維持血流混合才能存活。",[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？",6,1783840734532]