[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-073","nurse-107-1-maternal-pediatric-073",107,1,73,"有關心臟病童的藥物使用，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"應補充鈣片，以增加血紅素載氧量","使用毛地黃應與食物併用，避免腸胃刺激","使用 PGE 1 靜脈滴注，要注意呼吸窘迫的問題","使用 Propranolol（Inderal），可能會心跳過速，需監測心跳","C",null,[],"本題考點在於心臟病童常用藥物的作用與副作用監測。依前列腺素 E1（PGE1）藥理，其作用是維持動脈導管開放以爭取手術時機，常見副作用包括呼吸暫停與呼吸窘迫、發燒、低血壓，故靜脈滴注時須密切注意呼吸狀況，選 C。A 錯：增加血紅素載氧量應補充鐵劑而非鈣片，鈣與紅血球攜氧無關。B 錯：毛地黃（digoxin）宜於兩餐之間空腹給予以利吸收，並非與食物併用。D 錯：Propranolol（Inderal）屬 β 受體阻斷劑，會使心跳變慢而非過速，監測重點是心跳過慢與血壓下降。","把三個藥物的機轉背起來就不會錯：PGE1 是「保留導管」的藥，用在需靠開放性動脈導管維持體循環或肺循環的病灶（如大血管轉位、肺動脈閉鎖），代價是呼吸抑制，故常需備妥呼吸支持。Digoxin 屬強心配醣體，增加心肌收縮力、減慢心率，治療窗窄，須監測心跳（嬰兒 \u003C90–100 次\u002F分應停藥並回報）與中毒徵象（噁心嘔吐、視覺異常）。Propranolol 用於法洛氏四重症的缺氧發作，靠 β 阻斷降低右心室出口痙攣，副作用正是心搏過慢與低血糖。記憶對比：digoxin 與 propranolol 都讓心跳「變慢」，PGE1 則要盯「呼吸」。",[24,27,29,31,33],{"term":25,"count":26},"前列腺素 E1",4,{"term":28,"count":10},"動脈導管維持",{"term":30,"count":10},"毛地黃",{"term":32,"count":10},"β 受體阻斷劑",{"term":34,"count":10},"鐵劑",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-maternal-pediatric-074","若注射化學藥物出現紅腫、疼痛及水泡時，有關下列照護及處理步驟，其順序何者正確？①每日追蹤滲漏部位變化 ②以空針反抽滲漏部位的藥物 ③在滲漏部位局部冰敷或熱敷或塗抹藥物 ④停止注射",74,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-1-maternal-pediatric-010","有關胎血循環，下列何者正確？",10,108,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-108-2-maternal-pediatric-024","新生兒出生後進行口鼻抽吸之目的為何？",24,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-109-2-maternal-pediatric-062","林小妹 6 歲，因反覆性氣喘發作入院，現病情已漸趨穩定欲出院，有關出院的居家照顧，下列敘述何者正確？",62,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-maternal-pediatric-026","新生兒出生後 1 分鐘，哭聲宏亮，呼吸規則，心跳 128 次／分，四肢略屈曲，身體呈粉紅色，四肢為藍色，阿帕嘉計分（Apgar score）為幾分？",26,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-maternal-pediatric-060","有關疱疹病毒的感染，下列何者錯誤？",60,112,"2026-09-04",1788510703943]