[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-025":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-109-1-產兒科護理學-025","nurse-109-1-maternal-pediatric-025",109,1,25,"有關 RU486（mifepristone）的臨床治療，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是黃體素的拮抗劑，須由醫師開立處方簽","在懷孕 6 週前服用，成功率最高","可帶藥物回家服用，須於 1～2 週內回診檢查","與前列腺素合併使用，成功率可達 95%","C",null,[],"本題考點在於RU486(mifepristone)藥物流產的用藥安全規範。依藥理與流產處置準則,RU486為黃體素受體拮抗劑,雖第一劑可在醫療院所給予,但其合併使用的子宮收縮製劑及流產過程須在「醫療監督下」完成,不可讓婦女自行帶藥回家服用,故C為錯誤敘述。A正確,mifepristone確為黃體素拮抗劑,屬處方用藥須醫師開立。B正確,懷孕6至7週前(早期)使用成功率最高。D正確,與子宮收縮劑misoprostol併用可使完全流產成功率達約95%。因此唯一違反用藥安全的錯誤選項為C。","RU486機轉在於拮抗黃體素,使蜕膜剝離、子宮頸軟化並增加子宮對收縮製劑的敏感度,再以misoprostol引發子宮收縮排出妊娠組織。關鍵安全點:須排除子宮外孕、須有回診確認流產是否完全、須注意大出血風險,故不宜自行帶藥居家服用第二劑。記憶對比:mifepristone「拆牆(拮抗黃體素)」、misoprostol「收縮子宮」,兩者合用效果最佳。可連結子宮外孕禁忌、流產後出血評估等概念延伸。",[24,26,28,30],{"term":25,"count":10},"mifepristone 黃體素拮抗劑",{"term":27,"count":10},"前列腺素合併用藥",{"term":29,"count":10},"藥物流產用藥安全",{"term":31,"count":10},"醫療監督回診",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-026","Apgar score 計分表的評估項目不包含下列那一項？",26,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-042","下列何者較不屬於兒童遭受虐待／疏忽的常見徵象？",42,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-056","早產兒常出現呼吸暫停現象，下列敘述何者正確？",56,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-014","有關胎兒娩出的過程，當左枕前位（LOA）的胎兒完成內回轉（internal rotation）。此時胎頭與母體骨盆間的關係，下列敘述何者正確？",14,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-058","小立，6 歲，一週前被三斑家蚊叮咬，之後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬的症狀，其抽取腦脊髓液的檢查結果，下列敘述何者正確？",58,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-022","待產婦女於生產過程中發生肩難產（shoulder dystocia）時，下列處置何者為宜？①教導待產婦快速屈曲大腿靠向腹部 ②於子宮底施壓 ③加強子宮收縮藥劑量 ④注意胎心音變化",22,113,3,"2026-09-04",1788510713300]