[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-072","nurse-107-2-maternal-pediatric-072",107,2,72,"有關罹患心臟病嬰兒服用毛地黃的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"家中應備聽診器，服用前量心尖脈，至少測量 30 秒","心跳如果高於 120 下\u002F分鐘，可能是毛地黃中毒的症狀，需盡速就醫","發生噁心嘔吐時，可能是中毒症狀，需盡速就醫","毛地黃要與牛奶或食物併用，以減少腸胃刺激","C",null,[],"本題考點在於嬰兒服用毛地黃(digoxin)的中毒辨識與給藥指導。毛地黃治療指數狹窄,噁心、嘔吐是早期中毒的常見表現,出現時應盡速就醫評估,選 C。A 錯,服藥前量心尖脈應測滿 1 分鐘,非只測 30 秒。B 錯,毛地黃中毒表現為心跳「過慢」與心律不整,嬰兒基礎心跳本就偏快,120 下\u002F分並非中毒指標;應在心跳低於安全值(嬰兒約 \u003C90~100 下\u002F分)時暫停並就醫。D 錯,毛地黃不建議與牛奶或食物併服,以免影響吸收與劑量準確。","毛地黃透過抑制 Na⁺\u002FK⁺-ATP 酶增強心肌收縮力並減慢心率,治療與中毒劑量接近。低血鉀會加重毒性,故合併利尿劑時須留意血鉀。中毒早期常見腸胃道(噁心嘔吐、厭食)與心律變化(心搏過緩、房室傳導阻滯),兒童視覺症狀較不明顯。給藥前測心尖脈滿 1 分鐘,是評估心率是否安全的把關動作。",[24,27,29,31],{"term":25,"count":26},"心尖脈測量",3,{"term":28,"count":10},"毛地黃(digoxin)中毒",{"term":30,"count":10},"低血鉀加重毒性",{"term":32,"count":33},"治療指數狹窄",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-073","陳小弟，8 個月大，體重 7 公斤。心臟手術後第一天，下列何者為異常表徵？",73,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-maternal-pediatric-009","懷孕 11 週的黃女士向護理師抱怨有頻尿的現象，可是並無解尿困難的情形，下列何者是較適當的護理指導？",9,108,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-109-1-maternal-pediatric-023","有關產後泌尿系統的變化，下列敘述何者錯誤？",23,109,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-110-1-maternal-pediatric-061","小傑，8 個月，罹患支氣管肺炎（Bronchopneumonia），需住院治療，下列護理措施何者不適當？",61,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-maternal-pediatric-025","吳女士，G 1 P 1 ，產後第三天，計畫採純母乳哺育，詢問：「哺乳是否可以避孕？」下列護理指導何者最適當？",25,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-maternal-pediatric-059","有關玫瑰疹（Roseola Infantum）的相關敘述，下列何者正確？",59,112,"2026-09-04",1788510726375]