[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-018":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-110-1-產兒科護理學-018","nurse-110-1-maternal-pediatric-018",110,1,18,"待產婦以催產素（Pitocin）引產時，下列何者最不需要監測？",{"A":14,"B":15,"C":16,"D":17},"血壓與呼吸次數","輸出入量","宮縮與胎心率","血糖","D",null,[],"本題考點是催產素（Pitocin）引產時的監測重點。考點在於催產素引產的主要風險與宮縮及母體血流動力學有關，故宮縮與胎心率、血壓呼吸、輸出入量都必須嚴密監測；相對而言，血糖並非催產素的直接副作用，故D「血糖」最不需常規監測。C宮縮與胎心率須監測以防子宮過度刺激與胎兒窘迫。A血壓與呼吸須監測，因催產素可能影響血壓。B輸出入量須監測，因催產素具抗利尿作用、大量長時間輸注有水中毒與低血鈉風險。理解催產素的作用與副作用譜是判斷哪項可略的關鍵。","催產素引產的三大安全焦點：一是子宮過度刺激（tachysystole），宮縮過強過密會減少子宮胎盤灌流致胎兒窘迫，故須連續監測宮縮與胎心，出現異常即減量或停藥並採左側臥、給氧、補液。二是抗利尿效應，催產素結構近似抗利尿激素，大劑量長時間輸注加上大量低張輸注液可致水中毒與稀釋性低血鈉（頭痛、意識改變、抽搐），故須監測輸出入量。三是血壓變化。血糖代謝並非催產素的藥理標的，故為最不相關的監測項目。",[24,26,28,30],{"term":25,"count":10},"催產素子宮過度刺激",{"term":27,"count":10},"抗利尿效應與水中毒",{"term":29,"count":10},"宮縮與胎心監測",{"term":31,"count":10},"藥物副作用譜",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-019","林女士，陰道分娩後 12 小時，主訴會陰傷口疼痛，下列敘述何者適當？",19,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-035","鄭女士因骨盆腔炎症入院治療，下列敘述何者正確？",35,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-049","小苗，5 歲，因小腿蜂窩性組織炎住院接受治療，護理師在進行「兒童疼痛概念」發展之評估時，下列敘述何者最適當？",49,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-007","懷孕婦女抱怨陰道白色分泌物（白帶）增加、呈黏稠狀、無臭味，造成會陰部不適感，此種情況最可能原因為？",7,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-031","有關厭食症的敘述，下列何者錯誤？",31,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-025","有關子宮內膜異位症，下列敘述何者正確？",25,114,3,"2026-09-04",1788510721738]