[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-031","nurse-107-2-maternal-pediatric-031",107,2,31,"有關子宮外孕之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"血中 hCG 濃度有上升情形","臨床處置只能採腹腔鏡手術","出血時易有腹痛情形","主要好發於輸卵管壺腹部","B",null,[],"本題考點在子宮外孕的病理與處置原則。子宮外孕的處置需依血中 hCG 濃度、包塊大小與是否破裂而定,未破裂且 hCG 不高者可用 methotrexate 藥物治療,破裂出血才需手術,手術也未必是腹腔鏡,大量出血血流動力不穩時反而需剖腹探查,故「只能採腹腔鏡手術」敘述過於絕對而錯誤,選 B。A 正確,受精卵著床於輸卵管仍會分泌 hCG 使其上升,故驗孕可陽性;C 正確,外孕破裂血液刺激腹膜與骨盆腔,會引發腹痛;D 正確,約九成外孕發生於輸卵管,以壺腹部最多,因該處管腔較寬、受精常在此進行。","輸卵管壺腹部管腔寬、受精卵在此受精,若纖毛運送受阻(骨盆腔炎、輸卵管手術史)即著床於此。methotrexate 為葉酸拮抗劑,抑制滋養細胞增生使外孕組織萎縮,適用指標:未破裂、包塊\u003C4cm、hCG\u003C5000、無胎心。記憶:外孕三聯徵為停經、腹痛、陰道出血;破裂典型為單側劇痛合併肩痛(橫膈受血液刺激的轉移痛)與低血容性休克。",[24,27,29,32],{"term":25,"count":26},"hCG",3,{"term":28,"count":10},"子宮外孕",{"term":30,"count":31},"輸卵管壺腹部",1,{"term":33,"count":31},"methotrexate",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-032","有關硫酸鎂（MgSO 4 ）在安胎使用的敘述，下列何者錯誤？",32,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-108-1-maternal-pediatric-048","王小妹，8 歲，罹患急性腎絲球腎炎，若出現少尿情形，有關飲食之護理指導，下列何項應避免？",48,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-062","彤彤，因母親懷孕 30 週時突然破水致早產，出生體重 1020 公克，併有腦室內出血（intraventricular hemorrhage, IVH），下列護理措施，何者錯誤？",62,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-110-1-maternal-pediatric-020","邱女士，產後第三天嚴重脹奶，原想採純母乳哺餵，表示：「昨天都還好，今早突然這樣，實在太痛了，我想打退奶針。」下列何項處置最適當？",20,110,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-111-1-maternal-pediatric-064","小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",64,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-018","丁女士主訴無法忍受生產疼痛並接受 meperidine（Demerol）注射，給藥後護理師監測其呼吸速率低於每分鐘 10 次，下列何種藥物能改善此情形？",18,112,"2026-09-04",1788510725930]