[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-106-2-產兒科護理學-016","nurse-106-2-maternal-pediatric-016",106,2,16,"產婦於第三產程後，依醫囑施打宮縮藥物（Methergine ○ R , Ergonovine）。護理師於下列何種情況需停止給藥？",{"A":14,"B":15,"C":16,"D":17},"主訴全身發熱","血壓 150\u002F100 mmHg","呼吸不規則","脈搏 68～72 次／分","B",null,[],"本題考點在第三產程後使用麥角新鹼類宮縮劑（Methergine／Ergonovine）的用藥禁忌與停藥時機。此類藥物促子宮收縮止血，但具血管收縮作用會升高血壓，故高血壓是其禁忌，當血壓 150\u002F100 mmHg 明顯偏高時應停止給藥以免誘發高血壓危象，選 B。A 主訴全身發熱可能是其他反應，非該藥須立即停藥的關鍵指標；C 呼吸不規則與此藥主要禁忌無直接對應；D 脈搏 68～72 次／分為正常範圍，無須停藥。題目問須停止給藥的情況，血壓升高最切合麥角製劑的血管收縮禁忌。","藥理機轉：麥角新鹼（ergot alkaloids）使子宮平滑肌持續強力收縮以預防或治療產後出血，但同時收縮全身血管而升高血壓，故高血壓、子癇前症／子癇病人禁用，給藥前須測血壓。對比記憶——oxytocin 對血壓影響小，較適用於高血壓產婦；ergonovine／methergine 因升壓作用禁用於高血壓者。給藥前後監測血壓是安全把關重點。此題核心為「升壓藥理→高血壓禁忌→停藥指標」的連鎖判斷。",[24,27,30,32,34],{"term":25,"count":26},"產後出血預防",5,{"term":28,"count":29},"麥角新鹼Methergine\u002FErgonovine",1,{"term":31,"count":29},"宮縮劑血管收縮升壓",{"term":33,"count":29},"高血壓為用藥禁忌",{"term":35,"count":29},"給藥前監測血壓",[37,41,46,50,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-maternal-pediatric-017","胎兒預估體重 3200 公克，胎位（Fetal Position）為枕後位（OP），下列敘述何者正確？①子宮收縮力比較弱 ②第一產程時間較長 ③先露部下降較快 ④子宮頸擴張較慢",17,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-107-1-maternal-pediatric-033","何女士，妊娠 29 週，突然感到腹部劇烈疼痛，檢查結果為 TPR：36.6℃，90 次\u002F分，16 次\u002F分， BP：140\u002F90 mmHg，胎心音難測得，子宮硬且有壓痛，宮縮 60～80 mmHg，無陰道出血或羊水流出。根據何女士的臨床狀況，其可能有下列何項問題？",33,107,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-107-2-maternal-pediatric-047","小玉，罹患先天性甲狀腺功能低下（congenital hypothyroidism），長期服用甲狀腺藥物，下列何者不是甲狀腺毒性反應之症狀？",47,{"webId":51,"stem":52,"number":26,"year":53,"session":29},"nurse-109-1-maternal-pediatric-005","有關胎兒發育之敘述，下列何者錯誤？",109,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-110-1-maternal-pediatric-049","有關兒童常用的鴉片類製劑（opioids）疼痛處置，下列敘述何者正確？",49,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-2-maternal-pediatric-003","有關周產期死亡率的定義，下列何者正確？",3,111,"2026-09-04",1788510699194]