[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-產兒科護理學-034","nurse-115-1-maternal-pediatric-034",115,1,34,"林小妹，27 週早產兒，出生體重 860 公克，出生後胸部 X 光呈現毛玻璃樣影像，有關呼吸窘迫症候群（respiratory distress syndrome）的醫療處置與護理措施，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"定期以動脈血液氣體分析或脈衝式血氧定量儀檢查血氧飽和度","以肌肉注射給與 6 mg 類固醇（dexamethasone）共 4 劑，每 12 小時一次","沒有自發性呼吸時，需使用氣管內管式持續性呼吸道正壓法（CPAP）治療","抽吸口鼻分泌物時，維持壓力 80～100 mmHg 和時間 8～10 秒","A",null,[],"本題考點在早產兒呼吸窘迫症候群的監測與治療原則。此症因肺泡表面張力素不足導致肺泡塌陷、通氣灌流不均與低血氧，因此以動脈血液氣體分析或脈衝式血氧定量儀定期評估氧合，是治療調整的基本依據，故選 A。B 錯在該類固醇劑型與劑量是產前給母親促進胎兒肺部成熟的用法，不是出生後給新生兒的常規處置。C 錯在持續性呼吸道正壓法需病嬰有自發性呼吸才能發揮作用，完全無自發呼吸者須插管接呼吸器行機械通氣。D 錯在新生兒抽吸負壓與時間都應更保守，單次抽吸時間過長會造成缺氧與心搏過緩。","表面張力素由第二型肺泡細胞分泌，約三十四至三十五週才足量，故愈早產風險愈高；胸部X光的毛玻璃樣與支氣管充氣影是典型表現。治療核心是表面張力素補充、正壓通氣維持功能性肺餘量，並避免高氧造成早產兒視網膜病變與慢性肺疾。抽吸原則記「先給氧、時間短、負壓低、間歇休息」。可連結胎兒肺成熟度指標卵磷脂與鞘磷脂比值，以及產前類固醇用於母體的適應症。",[24,27,30,32],{"term":25,"count":26},"呼吸窘迫症候群",4,{"term":28,"count":29},"肺泡表面張力素",2,{"term":31,"count":10},"持續性呼吸道正壓法適應症",{"term":33,"count":10},"新生兒抽吸原則",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-maternal-pediatric-035","小敏，8 歲，罹患肌肉失養症（muscular dystrophy），呼吸急促且有喘鳴聲，經門診入院求治，以家庭為中心的護理措施，下列敘述何者最不適當？",35,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-maternal-pediatric-031","妊娠早期之孕婦若感染下列何種疾病，容易導致胎兒先天性心臟病、耳聾、白內障等不良後果？",31,106,{"webId":45,"stem":46,"number":47,"year":43,"session":29},"nurse-106-2-maternal-pediatric-045","廷廷，4 歲，自前年冬天開始時常出現流鼻血現象，有關流鼻血時的護理指導，下列何者不適合？",45,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-1-maternal-pediatric-003","王女士，G 1 P 0 ，懷孕 16 週，為增進母親與胎兒的情感連結，下列護理措施何者最適當？",3,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-1-maternal-pediatric-047","下列何者不是腮腺炎的臨床典型症狀？",47,109,{"webId":59,"stem":60,"number":10,"year":61,"session":29},"nurse-110-2-maternal-pediatric-001","王女士 30 歲，第一次懷孕，詢問有關人性化生產準備，下列護理師的回應何者較不適當？",110,"2026-08-06",1787299089469]