[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-009":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-110-1-產兒科護理學-009","nurse-110-1-maternal-pediatric-009",110,1,9,"有關胎兒呼吸系統發育，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"胎兒在 28 週，肺表面張力素開始製造","胎兒娩出後，才開始有呼吸動作","胎兒在子宮內有呼吸動作易造成羊水吸入","肺表面張力素過少易造成新生兒呼吸窘迫症候群","D",null,[],"本題考點是胎兒呼吸系統發育與肺表面張力素的功能。考點在於肺表面張力素（surfactant）由第二型肺泡細胞分泌，能降低肺泡表面張力、維持肺泡不塌陷，若分泌過少肺泡於呼氣時塌陷、造成新生兒呼吸窘迫症候群（RDS），故D正確。A錯在肺表面張力素約自24週開始少量製造、34–35週後才充足，並非28週才開始製造。B錯在胎兒在子宮內即有規律的呼吸樣運動（fetal breathing movement），並非娩出後才開始。C錯在胎兒的呼吸樣運動吸入的是肺內液體而非羊水，正常不會造成羊水吸入。理解surfactant的抗塌陷角色是本題核心。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840762736]