[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-108-1-產兒科護理學-035","nurse-108-1-maternal-pediatric-035",108,1,35,"Tamoxifen（Nolvadex）可抑制內生性雌激素作用，以有效降低乳癌的復發，若長期服用此藥物，護理師需要評估下列那些副作用？①血糖過低 ②鈣離子過低 ③噁心嘔吐 ④更年期症狀 ⑤末梢水腫",{"A":14,"B":15,"C":16,"D":17},"①②④","③④⑤","②③④","①③⑤","B",null,[],"本題考點是Tamoxifen的藥理副作用評估。依其為選擇性雌激素受體調節劑、在乳房組織拮抗雌激素的機轉,長期服用會出現類更年期症狀(如熱潮紅)④、腸胃道的噁心嘔吐③,以及末梢水腫⑤,故選B。①血糖過低並非其典型副作用,Tamoxifen不以降血糖著稱。②鈣離子過低亦非其常見不良反應,反而在骨骼可能有類雌激素保護作用,不會導致明顯低血鈣。故僅③④⑤成立,①②不選。","Tamoxifen在不同組織作用不一:乳房抗雌激素(治療目的),但在子宮內膜與骨骼呈類雌激素作用,故需警覺子宮內膜增生甚至內膜癌及血栓栓塞風險上升。常見不適為熱潮紅、月經改變、噁心與體液滯留。記憶口訣:乳房擋、子宮催、骨頭護、血栓防。可連結SERM家族(如raloxifene)與芳香酶抑制劑作用機轉的對比複習。",[24,26,28,30],{"term":25,"count":10},"選擇性雌激素受體調節劑",{"term":27,"count":10},"Tamoxifen副作用",{"term":29,"count":10},"更年期症狀",{"term":31,"count":10},"血栓風險",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-108-2-maternal-pediatric-052","常見的兒童虐待類型包括身體虐待、情緒（精神）虐待、性虐待及疏忽，有關兒童虐待的敘述，下列何者正確？",52,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-066","小瑋，6 歲，罹患膽道閉鎖，多年來等不到肝臟移植，面臨死亡，父母在與小瑋討論死亡時，下列敘述何者錯誤？",66,109,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-110-2-maternal-pediatric-024","白女士 G 2 P 2 ，陰道生產後一週，此時惡露的評估正常為何？①白色 ②粉紅色 ③1 小時內產墊上的血液約為 5 公分 ④30 分鐘浸溼整片產墊",24,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-maternal-pediatric-068","有關肌肉注射鐵劑時的注意事項，下列敘述何者錯誤？",68,111,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-112-3-maternal-pediatric-022","丁女士，妊娠 12 週，接受第二次產前檢查，發現其紅血球平均容積（MCV）為 60 fl。針對丁女士的狀況，下列何者為最優先處置？",22,112,3,"2026-09-04",1788510710513]