[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-032":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-032","nurse-107-2-maternal-pediatric-032",107,2,32,"有關硫酸鎂（MgSO 4 ）在安胎使用的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需監測尿量","用藥過量時可能抑制深部肌腱反射","可利用生化檢驗監測血中濃度","血中濃度過高可使用 halothan 拮抗","D",null,[],"本題考點在硫酸鎂(MgSO₄)安胎的監測與中毒解毒。鎂中毒的拮抗劑是葡萄糖酸鈣(calcium gluconate),藉鈣離子與鎂在神經肌肉接合處競爭以逆轉呼吸抑制與心律問題,halothane 是吸入性麻醉劑,並無拮抗鎂中毒作用,故 D 錯誤。A 正確,鎂由腎臟排除,少尿會使血鎂蓄積中毒,故需監測尿量(常設每小時≥30 mL);B 正確,深部肌腱反射消失是鎂中毒的早期警訊,故給藥前需評估膝反射;C 正確,可抽血檢驗血中鎂濃度,治療濃度約 4–7 mg\u002FdL 以監測安全範圍。","鎂為鈣的天然拮抗劑,抑制乙醯膽鹼釋放而放鬆平滑肌與骨骼肌,故用於安胎與子癇前症預防抽搐。中毒進程可記為劑量遞增：膝反射消失(約 10 mg\u002FdL)→呼吸抑制(約 15 mg\u002FdL)→心跳停止(約 25 mg\u002FdL)。監測三寶:尿量、呼吸次數、深部肌腱反射,任一異常即停藥並備妥 10% 葡萄糖酸鈣靜脈推注。",[24,27,30,32],{"term":25,"count":26},"深部肌腱反射",3,{"term":28,"count":29},"硫酸鎂",1,{"term":31,"count":29},"葡萄糖酸鈣",{"term":33,"count":29},"鎂中毒",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-033","以比夏計分法（Bishop’s score）評估產婦引產的難易度，下列何者錯誤？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-049","婷婷，14 歲，泌尿道感染三度入院，下列護理指導何者較不適當？",49,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-063","有關新生兒壞死性腸炎之敘述，下列何者錯誤？",63,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-021","下列何者為更年期女性的生理變化？①濾泡刺激素大量增加 ②雌性素分泌增加 ③低密度脂蛋白增加 ④陰道 pH 值下降",21,110,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-065","王小弟，心室中膈缺損（VSD），出現充血性心衰竭的症狀，呼吸喘，費力，請問採那個姿勢較舒適？",65,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-019","廖女士，41 歲，G 4 P 4 ，在今天早上 6 點以陰道分娩第四個女兒，現親子同室中，護理師詢問其他家人何時會來醫院，廖女士眼眶泛紅表示：「他們不會來啦，因為這胎又是女兒」，下列回應何者最適當？",19,112,"2026-09-04",1788510725934]