[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-031":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-107-1-產兒科護理學-031","nurse-107-1-maternal-pediatric-031",107,1,31,"產後婦女使用子宮收縮劑 Methergine 時，須特別留意下列何項生命徵象？",{"A":14,"B":15,"C":16,"D":17},"體溫","脈搏","呼吸","血壓","D",null,[],"本題考點在子宮收縮劑 Methergine（methylergonovine，麥角新鹼）的用藥監測重點。依藥理，麥角類子宮收縮劑會同時使全身血管收縮而升高血壓，故給藥前後須特別監測『血壓』，高血壓或子癇前症產婦禁用，選 D。A 體溫並非本藥的關鍵監測項，與其血管收縮作用無直接對應。B 脈搏雖屬常規生命徵象，但相較於升壓風險並非本藥最須留意者。C 呼吸同理，非麥角新鹼特有的監測焦點。本藥用於預防或處理產後子宮收縮乏力性出血，核心副作用為血壓升高，故監測血壓最關鍵。","Methergine 為麥角生物鹼類，藉直接刺激子宮平滑肌持續強力收縮止血，但同時興奮血管平滑肌引發全身性血管收縮→血壓上升，故妊娠高血壓、子癇前症、慢性高血壓者禁用；給藥須先量血壓。對照另一常用宮縮劑 Oxytocin（催產素）：作用溫和、副作用偏向靜脈快速大量給予時的低血壓與抗利尿致水中毒，兩者監測面向相反。記憶：麥角＝『血管收縮、血壓升』（怕高血壓）；催產素＝『快速給怕低血壓與水中毒』。可連結概念：麥角新鹼、產後出血、宮縮乏力、血壓監測與禁忌。",[24,27,30,32,34],{"term":25,"count":26},"產後出血",5,{"term":28,"count":29},"血管收縮升壓",2,{"term":31,"count":10},"Methergine 麥角新鹼",{"term":33,"count":10},"宮縮乏力",{"term":35,"count":10},"用藥禁忌",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-1-maternal-pediatric-032","楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",32,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-107-2-maternal-pediatric-048","協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",48,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-maternal-pediatric-062","有關早產兒在保溫箱中的感官刺激，下列護理措施何者正確？",62,108,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-109-2-maternal-pediatric-020","有關產後痛（after pain）的護理，下列何者錯誤？",20,109,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-110-2-maternal-pediatric-064","有關兒童毛地黃（Digoxin）給藥之護理指導，下列敘述何者正確？",64,110,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-maternal-pediatric-018","剖腹產時，為減少藥物對胎兒的副作用，宜採用何種麻醉方式？",18,112,"2026-09-04",1788510703550]