[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-112-3-產兒科護理學-017","nurse-112-3-maternal-pediatric-017",112,3,17,"促使新生兒出生後動脈導管功能性關閉的最主要原因為何？",{"A":14,"B":15,"C":16,"D":17},"肺擴張後左心房壓力減少","肺擴張後血氧分壓上升","剪斷臍帶後肝臟血液增加","剪斷臍帶後下腔靜脈血液減少","B",null,[],"本題考點在於新生兒出生後動脈導管（ductus arteriosus）功能性關閉的主要生理機轉。胎兒出生後肺臟擴張、開始呼吸，血氧分壓（PaO₂）上升，高血氧會直接刺激動脈導管平滑肌收縮而使其功能性關閉，故選 B。A 肺擴張後回流左心房的血量增加、壓力上升而非減少，且非導管關閉主因；C 剪斷臍帶影響的是靜脈導管與肝門循環，與動脈導管無直接關係；D 下腔靜脈血量變化主要關聯卵圓孔關閉，非動脈導管的主導因素。",1,[24,28,32,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":31,"year":27,"session":22},"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":33,"stem":34,"number":10,"year":27,"session":22},"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？",{"webId":36,"stem":37,"number":38,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840795129]