[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-108-2-產兒科護理學-037","nurse-108-2-maternal-pediatric-037",108,2,37,"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﹖",{"A":14,"B":15,"C":16,"D":17},"婦女先接受治療，無效後再請性伴侶一起治療","可進行陰道清水沖洗以加強治療效果","服藥期間，不可飲用酒精性飲料","治療期間，應配合採用口服避孕藥","C",null,[],"本題考點在於metronidazole(Flagyl)治療陰道滴蟲感染的用藥指導。依metronidazole的藥理特性,它會抑制乙醛去氫酶,與酒精併用產生雙硫侖樣反應(disulfiram-like reaction),出現噁心、嘔吐、潮紅、心悸,故服藥期間及停藥後數日不可飲酒,選C正確。A錯:滴蟲感染屬性傳染,性伴侶須同時治療以免反覆感染,不可等婦女無效才治療;B錯:陰道清水沖洗無助療效且可能破壞菌叢、上行感染;D錯:治療與口服避孕藥並無配合必要,此為無關措施。考點在於辨識「戒酒」是此藥的關鍵衛教。","Metronidazole對厭氧菌與原蟲(陰道滴蟲、阿米巴、梨形鞭毛蟲)有效。雙硫侖樣反應機轉為阻斷酒精代謝中間產物乙醛的分解,乙醛蓄積致不適,建議停藥後至少48–72小時再飲酒。滴蟲屬性傳染疾病,治療須「伴侶同治、療程完成、避免再感染」。孕期第一孕期使用仍有爭議,需謹慎評估。",[24,27,29,31,33],{"term":25,"count":26},"metronidazole",1,{"term":28,"count":26},"雙硫侖樣反應",{"term":30,"count":26},"陰道滴蟲",{"term":32,"count":26},"性伴侶同治",{"term":34,"count":26},"乙醛去氫酶",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-038","有關以子宮托（pessary）減輕子宮脫垂程度，其正確的放置部位為何？",38,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-109-1-maternal-pediatric-054","協助病童接受腰椎穿刺檢查過程中，下列護理措施何者不恰當？",54,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-068","9 歲的小君，診斷白血病（leukemia），目前接受化學治療，其血液檢驗數值嗜中性白血球計數為 800\u002Fmm 3 ，有關護理措施，下列敘述何者不適當？",68,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-1-maternal-pediatric-026","新生兒出生後 1 分鐘，哭聲宏亮，呼吸規則，心跳 128 次／分，四肢略屈曲，身體呈粉紅色，四肢為藍色，阿帕嘉計分（Apgar score）為幾分？",26,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-1-maternal-pediatric-070","小軒，6 歲，體重 20 公斤，診斷為尿崩症，有關診斷與護理處置，下列何者錯誤？",70,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-004","有關懷孕內分泌系統的變化，下列敘述何者正確？",4,113,"2026-09-04",1788510707144]