[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-032":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-032","nurse-110-1-maternal-pediatric-032",110,1,32,"陳女士妊娠 30 週，因有早產預兆而入院安胎，依醫囑使用 Ritodrine（Yutopar）靜脈點滴注射。有關此藥物的副作用，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"低血糖","噁心","頭痛","胎心率增加","A",null,[],"本題考點是安胎藥物Ritodrine（Yutopar）的副作用，屬找錯誤選項題。考點在於Ritodrine是β腎上腺素受體致效劑，透過活化β2受體鬆弛子宮平滑肌來抑制宮縮，其β2作用同時促進肝醣分解與糖質新生，故典型代謝副作用是高血糖而非低血糖，選項A「低血糖」為錯誤。B噁心、C頭痛、D胎心率增加皆為Ritodrine常見的β腎上腺素性副作用：β1效應使母體與胎兒心跳加速，血管與中樞效應造成頭痛、噁心。理解「β致效劑造成高血糖與心跳加速」的藥理是解題核心。","Ritodrine（與terbutaline同類）屬β2交感神經致效劑安胎藥，其藥理副作用可由交感興奮一路推導：β2鬆弛平滑肌以抑制宮縮，同時促肝醣分解與胰島素抵抗而致高血糖（糖尿病孕婦使用須特別監測血糖與血鉀，因胰島素驅鉀入細胞可致低血鉀）；β1興奮心臟使母體與胎兒心搏過速、心悸，並可能引發肺水腫（尤其併用類固醇與大量輸注時）與胸痛。監測重點含心率、血壓、血糖、血鉀、輸出入量與肺部聽診。把「β致效＝子宮鬆弛＋心跳快＋血糖高＋血鉀低」記成一組，即可一眼揪出低血糖為誤述。",[24,26,28,30],{"term":25,"count":10},"Ritodrine β2致效劑",{"term":27,"count":10},"β2作用致高血糖",{"term":29,"count":10},"β1作用致心搏過速",{"term":31,"count":10},"安胎藥低血鉀與肺水腫",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-033","李女士產後 8 小時，惡露呈鮮紅色，1 小時內即浸溼整片產墊，下列護理措施何者錯誤？",33,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-049","護理師為了讓 2～6 歲病童認為藥杯內藥物減少，將小藥杯改為較大底面積的藥杯，主要是運用兒童尚未發展何種認知概念？",49,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-063","陳小弟，7 個月大，因高燒、聲音出現狗吠聲而入院，經醫師診斷為哮吼（croup），有關哮吼的護理措施，下列敘述何者錯誤？",63,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-021","李女士，產後三週，表示產後至今體重增加 5 公斤，失眠睡不好，動作遲緩且嗜睡，對任何事物及新生兒照護都缺乏興趣，覺得很有罪惡感，加上自己坐月子缺乏幫手，常常出現想死的念頭。針對李女士的情形，下列評估何者最適當？",21,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-045","有關病童放置鼻胃管之護理照護，下列敘述何者較適當？",45,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-039","小玉，2 歲，因感冒罹患急性中耳炎（acute otitis media）住院治療，其返家之護理照護，下列敘述何者正確？",39,114,3,"2026-09-04",1788510721865]