[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-107-2-產兒科護理學-015","nurse-107-2-maternal-pediatric-015",107,2,15,"陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",{"A":14,"B":15,"C":16,"D":17},"告知產婦藥物的常見副作用，包括尿滯留、噁心、嘔吐等","觀察產婦的頭暈嗜睡狀況，確保使用床欄","每小時監測陰道出血情形","密切監測胎心率的變異性","C",null,[],"本題考點在待產止痛藥 meperidine 的護理監測重點。meperidine 為鴉片類止痛劑，副作用包括尿滯留、噁心嘔吐（A 適宜衛教）、頭暈嗜睡故須拉起床欄防跌（B 適宜），且會通過胎盤降低胎心率變異性與造成新生兒呼吸抑制，故須密切監測胎心率變異性（D 適宜）。C 每小時監測陰道出血與 meperidine 的藥理作用無直接關聯，屬產後或胎盤相關監測項目，非此藥的護理焦點，故為「較不適宜」選項。本題要辨識鴉片類藥物的中樞與胎兒影響，故選 C。","meperidine 屬鴉片類，臨床上待產給藥須留意三面向：母體（鎮靜、噁心、尿滯留、姿位性低血壓）、胎兒（降低胎心率變異性）、新生兒（若娩出前 1～4 小時內給藥，易致呼吸抑制，須備 naloxone）。故給藥時機要避開預期娩出時段。陰道出血監測與此藥無關，是設計來辨識考生是否連結「藥理作用」與「監測項目」。連結概念：鴉片類止痛劑、胎心率變異性、新生兒呼吸抑制、naloxone。",[24,27,29,31],{"term":25,"count":26},"胎心率變異性",3,{"term":28,"count":10},"meperidine",{"term":30,"count":10},"新生兒呼吸抑制",{"term":32,"count":33},"鴉片類止痛劑",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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":40,"stem":41,"number":42,"year":43,"session":33},"nurse-108-1-maternal-pediatric-032","有關前置胎盤之敘述，下列何者正確？",32,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-046","雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",46,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-110-1-maternal-pediatric-004","有關常見遺傳疾病之敘述，下列何項正確？",4,110,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-111-1-maternal-pediatric-048","臨床上可以和嬰幼兒玩躲貓貓遊戲，轉移害怕的注意力，主要是利用其已發展何種概念？",48,111,{"webId":59,"stem":60,"number":10,"year":61,"session":10},"nurse-112-2-maternal-pediatric-002","丁女士 30 歲，G 1 P 0 ，懷孕 20 週，至門診產檢。懷孕前身體質量指數（BMI）為 20，懷孕後體重增加 3 公斤，宮底高肚臍上一橫指，詢問「肚子會不會太小？」護理師最合適的回答為何？",112,"2026-09-04",1788510725767]