[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-034":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-113-2-產兒科護理學-034","nurse-113-2-maternal-pediatric-034",113,2,34,"有關早產兒常發生的問題，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"腦室內出血是因腦室周圍原生質（germinal matrix）部位血管較脆弱易破裂所導致","視網膜病變是因血氧過低或過高，使不成熟的視網膜血管收縮導致缺血","壞死性腸炎的主因是腸胃道生理結構與消化功能不成熟","呼吸窘迫症候群是因缺乏表面張力素造成肺擴張不全","C",null,[],"本題考點在於早產兒常見併發症的病生理機轉，屬反向題，須找出錯誤敘述。錯誤敘述為 C：壞死性腸炎（NEC）的主因並非單純「腸胃道生理結構與消化功能不成熟」，而是「腸道缺血、缺氧、腸道菌叢異常與配方奶餵食」共同導致腸黏膜缺血壞死與細菌侵入，故 C 對主因的描述不完整且失焦，為正解。A 正確，腦室內出血（IVH）源於早產兒腦室周圍生發基質（germinal matrix）血管脆弱、易受血壓波動影響而破裂出血。B 正確，早產兒視網膜病變（ROP）與血氧過高或波動使不成熟視網膜血管收縮、後續異常新生血管有關。D 正確，呼吸窘迫症候群（RDS）因肺表面張力素（surfactant）不足致肺泡塌陷、擴張不全。本題須辨識 NEC 的核心機轉是缺血與腸道防禦不成熟加上餵食因素，而非僅「消化功能不成熟」。",1,[24,28,31,35,39,43],{"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":10,"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？",{"webId":32,"stem":33,"number":34,"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？",3,{"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？",6,1783840796421]