[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-106-1-產兒科護理學-033","nurse-106-1-maternal-pediatric-033",106,1,33,"承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"注意孕婦是否有 MgSO 4 中毒現象，如深部肌腱反射增強、呼吸受抑制","50% Calcium gluconate 應置於床邊，以備 MgSO 4 中毒時解毒之用","須監控每小時尿量宜少於 25 mL，以避免水分攝取過多導致肺水腫","MgSO 4 可能造成呼吸抑制現象，應監控呼吸速率，宜大於 12 次\u002F分","D",null,[],"本題考點為硫酸鎂(MgSO₄)靜脈給藥的安全監測。依藥理毒性表現,鎂離子過量會抑制神經肌肉傳導,故監測呼吸速率是關鍵,一般以呼吸大於 12 次\u002F分為安全下限,低於此須警覺呼吸抑制,選D正確。A 錯在中毒徵象是深部肌腱反射「減弱或消失」而非增強,反射消失是最早的過量警訊;B 錯在解毒劑濃度,床邊應備「10% Calcium gluconate」而非 50%;C 錯在尿量標準相反,每小時尿量應維持「大於」25–30 mL,過少反而使鎂排出受阻而蓄積中毒。","MgSO₄ 中毒監測順序好記為「反射→呼吸→尿量」:深部肌腱反射消失(血鎂約 8–10 mg\u002FdL)最早出現,續而呼吸抑制(約 10–15),再到心跳停止。三大監測項目:DTR、呼吸≥12 次\u002F分、尿量≥30 mL\u002Fhr,任一異常即停藥。解毒劑葡萄糖酸鈣以鈣離子競爭性拮抗鎂在神經肌肉接合處的作用,故須床邊備妥。腎臟是唯一排鎂路徑,故少尿者用藥格外危險。",[24,27,29,31,34],{"term":25,"count":26},"深部肌腱反射",3,{"term":28,"count":26},"呼吸抑制",{"term":30,"count":26},"尿量監測",{"term":32,"count":33},"硫酸鎂中毒",2,{"term":35,"count":10},"葡萄糖酸鈣解毒劑",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-1-maternal-pediatric-034","形成妊娠中期心灼熱感（heart burn）的荷爾蒙為下列何者？",34,{"webId":42,"stem":43,"number":44,"year":9,"session":33},"nurse-106-2-maternal-pediatric-050","為學齡前期兒童執行侵入性治療時，下列護理措施何者錯誤？",50,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-maternal-pediatric-064","小芳，3 歲，腦瘤手術住院，媽媽對於小芳 7 歲的哥哥在學校變得易怒、打同學感到煩心，下列措施何者不適當？",64,107,{"webId":51,"stem":52,"number":53,"year":54,"session":33},"nurse-108-2-maternal-pediatric-022","有關母嬰親善醫院的 10 項措施，下列何者可直接促進親子依附關係？",22,108,{"webId":56,"stem":57,"number":58,"year":59,"session":33},"nurse-109-2-maternal-pediatric-066","有關體染色體隱性遺傳之疾病，下列何者錯誤？",66,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-maternal-pediatric-020","下列那種情況容易發生產後痛（after pain）？",20,111,"2026-09-04",1788510693919]