[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-070","nurse-108-1-maternal-pediatric-070",108,1,70,"王小弟，一出生即被診斷為大血管轉位，合併心室中隔缺損。下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"依醫囑靜脈注射前列腺素 E 1 （Prostaglandin E 1 , PGE 1 ），應注意是否有呼吸窘迫與血管炎的副作用","合併心室中隔缺損會讓發紺更嚴重，應立即給予 100%氧氣","合併嚴重的中隔缺損，應注意是否有充血性心衰竭症狀","注意血液檢查是否有紅血球增多症狀","B",null,[],"本題考點在大血管轉位（TGA）合併心室中隔缺損的照護，須選出錯誤者。TGA 為發紺性心臟病，需維持動脈導管開放以促進體肺循環血液混合，高濃度氧氣會促使動脈導管收縮關閉，反使發紺惡化，故選項 B「立即給予 100% 氧氣」錯誤，即為答案。選項 A 正確，靜脈注射前列腺素 E1 可維持動脈導管開放，須注意呼吸窘迫、發燒與血管相關副作用。選項 C 正確，合併嚴重中隔缺損易增加肺血流、導致充血性心衰竭，應觀察其徵象。選項 D 正確，慢性缺氧會刺激紅血球增生，應注意紅血球增多症。","TGA 病生理：主動脈接右心室、肺動脈接左心室，體循環與肺循環形成兩個平行封閉環，需靠卵圓孔、動脈導管或 VSD 的血液混合才能存活。故治療反其道而行——用 PGE1 維持導管開放，避免給高濃度氧（氧會關閉導管）。這是與一般發紺處置給氧的重要例外。記憶對比：依賴導管的發紺型心臟病「保留導管、忌高濃度氧」。可連結概念：前列腺素 E1、動脈導管、血液混合病灶、Balloon atrial septostomy。",[24,27,29,31],{"term":25,"count":26},"大血管轉位 TGA",2,{"term":28,"count":10},"前列腺素 E1 維持動脈導管",{"term":30,"count":10},"發紺性心臟病",{"term":32,"count":10},"高濃度氧禁忌",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-071","王小弟，3 歲，罹患法洛氏四重症。每天早上 9 點與晚上 9 點需服用毛地黃。若在早上需服藥時間的 3 小時後，發現遺漏服用，下列護理措施何者正確？",71,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-1-maternal-pediatric-007","懷孕 35 週婦女，走路時感到鼠蹊部痛，主要是那一條子宮韌帶受影響？",7,109,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-109-2-maternal-pediatric-021","王女士剖腹產後第一天，主訴腹部疼痛。評估美容膠覆蓋之傷口無滲液，腹部叩診鼓音，子宮收縮良好，惡露色紅量少無異味，下列何項護理措施最優先？",21,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-2-maternal-pediatric-059","有關麻疹與德國麻疹的臨床表徵之比較，下列何者正確？",59,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-1-maternal-pediatric-023","有關剖腹產術前及術後之護理措施，下列何者正確？",23,112,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-113-1-maternal-pediatric-007","葉女士，28歲，G1P0，待產過程中突然自然破水，內診發現子宮頸口開8公分、變薄程度80%、先露部位+1。下列何者為最優先之護理處置？",113,"2026-09-04",1788510710801]