[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-065","nurse-106-1-maternal-pediatric-065",106,1,65,"霏霏，2 個月，罹患心房中膈缺損（ Atrial Septal Defect; ASD ），下列護理指導何者不恰當？",{"A":14,"B":15,"C":16,"D":17},"一般不會出現發紺現象","1 歲以內將近一半會自動閉合","需小心照護，減少呼吸道感染","按時服用前列腺素 E 1 （Prostaglandin E 1 ）","D",null,[],"本題考點為心房中膈缺損的血流動力學與用藥判斷。ASD屬左向右分流,含氧血由左心房流向右心房,肺循環血流增加但體循環仍為含氧血,故一般不發紺(A對);續發孔型ASD約半數在1歲內自動閉合(B對);肺血流增多易反覆呼吸道感染故需防護(C對)。D錯在前列腺素E1的作用是維持動脈導管開放,用於須靠導管維持血流混合的發紺型先天性心臟病,ASD並不需要,若不當使用反而增加肺血流負擔,故為不恰當的指導。","前列腺素E1(Prostaglandin E1)專用於導管依賴型病灶,如大動脈轉位、肺動脈閉鎖、嚴重主動脈窄縮,靠開放性動脈導管維持體肺循環交通。ASD、VSD屬左向右分流的非發紺型,處置是觀察等待自然閉合或行導管關閉術與手術,不需前列腺素。口訣:發紺型缺氧靠導管保命才給PGE1,非發紺型分流不需要。",[24,27,29,31],{"term":25,"count":26},"導管依賴型先天性心臟病",2,{"term":28,"count":10},"心房中膈缺損",{"term":30,"count":10},"左向右分流",{"term":32,"count":10},"前列腺素E1",[34,38,42,46,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-066","有關血友病病童的運動建議，下列敘述何者正確？",66,{"webId":39,"stem":40,"number":26,"year":41,"session":10},"nurse-107-1-maternal-pediatric-002","有關臺灣產科護理現況之敘述，下列何者正確？",107,{"webId":43,"stem":44,"number":45,"year":41,"session":26},"nurse-107-2-maternal-pediatric-016","自然產的胎頭娩出後將進入下列何項分娩機轉？",16,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-108-2-maternal-pediatric-054","根據衛生福利部擬訂「2025 年衛生福利政策白皮書」，婦幼健康促進長程指標，下列敘述何者錯誤？",54,108,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-1-maternal-pediatric-018","待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",18,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-maternal-pediatric-052","有關病童約束的原則，下列何者錯誤？",52,111,"2026-09-04",1788510694289]