[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-038":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-038","nurse-112-3-maternal-pediatric-038",112,3,38,"有關氣喘（asthma）之病因及病理變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"呼吸道受刺激造成黏膜水腫導致呼吸困難是因為平滑肌擴張所致","誘發因子引發呼吸道狹窄、呼吸困難、缺氧，產生呼吸性酸中毒","呼吸道阻塞使吸氣時間延長而形成吸氣哮鳴音（stridor）","嚴重發作時呈現臉色潮紅、呼吸次數增快、心跳次數減緩","B",null,[],"本題考點在於氣喘的病理生理變化。氣喘核心是慢性呼吸道發炎導致支氣管平滑肌收縮（痙攣）、黏膜水腫及黏液增加，使呼吸道狹窄、氣流受阻而缺氧，通氣不足時二氧化碳滯留可造成呼吸性酸中毒，故 B 正確。A 錯在把黏膜水腫的呼吸困難歸因於平滑肌「擴張」，實際是平滑肌「收縮」；C 錯在氣喘阻塞在下呼吸道、以「呼氣」延長與呼氣性哮喘鳴（wheezing）為主，吸氣哮鳴音（stridor）屬上呼吸道阻塞（如哮吼）；D 錯在嚴重發作應為呼吸與心跳「增快」、缺氧發紺而非臉色潮紅、心跳減緩，故選 B。",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？",6,1783840795361]