[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-108-1-產兒科護理學-033","nurse-108-1-maternal-pediatric-033",108,1,33,"有關安胎藥物之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"硫酸鎂（MgSO 4 ）使用需監測呼吸不能少於 18 次\u002F分","Adalat 屬於 α 阻斷劑","Yutopar 適用於妊娠全期","硫酸鎂（MgSO 4 ）中毒時可使用 10%葡萄糖鈣中和","D",null,[],"本題考點是安胎藥物的藥理與中毒處置。依硫酸鎂中毒時鈣可拮抗鎂對神經肌肉阻斷的機轉,發生中毒應給予10%葡萄糖酸鈣作為解毒劑,故選D。A錯在使用硫酸鎂時呼吸須維持不少於每分鐘約12至16次,以18次為界過高且非標準。B錯在Adalat(nifedipine)屬鈣離子通道阻斷劑,並非α受體阻斷劑。C錯在Yutopar(ritodrine)屬乙型交感神經興奮劑安胎用藥,並非適用於妊娠全期,通常用於特定妊娠週數的早產抑制。","硫酸鎂中毒依序出現深部肌腱反射消失、呼吸抑制、心跳傳導異常,故監測膝反射、呼吸次數與尿量,鈣拮抗其神經肌肉阻斷。ritodrine與nifedipine同為子宮鬆弛劑但機轉不同:前者活化子宮平滑肌β2受體、後者阻斷鈣內流。記憶口訣:鎂中毒解毒靠鈣、監測反射與呼吸。可連結安胎藥的心悸、肺水腫與血糖上升等副作用監測。",[24,27,29,31],{"term":25,"count":26},"硫酸鎂中毒",2,{"term":28,"count":10},"葡萄糖酸鈣拮抗",{"term":30,"count":10},"鈣離子通道阻斷劑",{"term":32,"count":10},"安胎藥藥理",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-034","有關高危險妊娠的敘述，下列何者正確？",34,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-maternal-pediatric-050","兒童接受排空性膀胱尿道攝影（voiding cystouretheography）的主要目的是：",50,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,109,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-2-maternal-pediatric-022","有關新生兒飢餓的暗示行為，下列敘述何者錯誤？",22,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-maternal-pediatric-066","為了增加法洛氏四重症（TOF）兒童的肺循環血流，以增加其左心充氧血的含量，下列照護處置何者錯誤？",66,111,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-112-3-maternal-pediatric-020","陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",20,112,3,"2026-09-04",1788510710500]