[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-108-2-產兒科護理學-036","nurse-108-2-maternal-pediatric-036",108,2,36,"有關心臟病婦女妊娠期護理之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"每天應有至少 10 小時以上睡眠，以減少心臟負擔","採左側臥姿勢休息","孕期應告知避免服用 digitalis，以免致畸胎","有上呼吸道感染應立即就醫，及早控制感染","C",null,[],"本題考點在於妊娠合併心臟病的孕期照護原則與藥物安全。依心臟病孕婦降低心臟負擔的目標,充足睡眠(每日10小時以上)與左側臥可減少回心血量負荷、增加心輸出效率;上呼吸道感染會增加心臟代謝需求並可能誘發心衰,故應及早就醫控制,A、B、D皆正確。錯誤者為C:毛地黃(digitalis\u002Fdigoxin)是治療孕期心臟衰竭與心律控制的常用藥,並無明確致畸胎性,孕期需要時可持續使用,不應以「致畸胎」為由停藥。考點在於辨識digoxin於妊娠期屬相對安全的強心藥。","妊娠血容量約增30–50%,於28–32週達高峰,是心臟病孕婦最易失代償的時期。Digoxin可通過胎盤但被視為孕期可用;真正致畸的心血管用藥是ACEI\u002FARB(胎兒腎損傷)與warfarin(華法林胚病)。左側臥解除主動脈腔靜脈壓迫,是心臟病與一般孕婦共通的休息姿勢。",[24,27,29,32,34],{"term":25,"count":26},"左側臥",7,{"term":28,"count":10},"血容量增加",{"term":30,"count":31},"妊娠合併心臟病",1,{"term":33,"count":31},"毛地黃digoxin",{"term":35,"count":31},"致畸胎藥物",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-maternal-pediatric-037","有關口服 metronidazole（flagyl）治療陰道滴蟲感染之護理指導，下列何者正確﹖",37,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-109-1-maternal-pediatric-053","小明，3 歲，被機車撞倒，頭部受傷，有關腦壓增高的早期臨床表徵，不包括下列何者？",53,109,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-109-2-maternal-pediatric-067","小漢 8 歲，罹患血友病（hemophilia），下列護理措施何者最適當？",67,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-111-1-maternal-pediatric-025","王女士表示：「我不准我兒子來，他們天天吵，太皮了，萬一妹妹怎樣就麻煩了。」下列敘述何者最適當？",25,111,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-112-1-maternal-pediatric-069","小勇，10 歲，罹患急性淋巴性白血病，目前接受化學治療中，有關其護理措施之敘述，下列何者錯誤？",69,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-maternal-pediatric-003","有關懷孕期無壓力試驗（Non-stress test, NST）的敘述，下列何者正確？",3,113,"2026-09-04",1788510707141]