[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-004":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-110-2-產兒科護理學-004","nurse-110-2-maternal-pediatric-004",110,2,4,"懷孕期間由於生理機能改變，使得藥物在孕婦體內的吸收、分布、代謝與排泄均有改變，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"潮氣容積量下降，使吸入性藥物的吸收減少","藥物與白蛋白結合比例降低，肝臟對藥物的代謝能力增加","腎絲球過濾率增加，藥物的代謝變慢","胃排空加快胃酸分泌增加，藥物滯留腸胃道時間減少","B",null,[],"本題考點為妊娠期藥物動力學的生理性改變。依孕期血漿容積大幅增加使白蛋白相對稀釋,藥物與白蛋白結合比例下降、游離藥物增加,加上肝臟代謝酵素活性上升,故正確者為B。(A)孕期潮氣容積是「增加」而非下降,吸入性藥物吸收反而增多。(C)腎絲球過濾率上升應使藥物排除加快,而非代謝變慢。(D)孕期胃排空「減慢」、胃酸分泌減少,藥物滯留腸胃道時間延長。考點在於孕期整體呈現高血漿容積、低蛋白結合、肝代謝增強與腎清除增加的趨勢。","孕期藥動學四階段變化:吸收(胃排空慢、腸蠕動減、潮氣容積增使吸入藥吸收快)、分布(血漿容積↑稀釋、白蛋白↓使游離藥物↑、體脂↑)、代謝(肝酵素CYP活性多上升)、排泄(GFR↑約50%使腎清除藥物加快)。記憶:「容積大、結合少、代謝快、排得快」。臨床意義:部分藥物需調整劑量以維持有效濃度。可連結:蛋白結合率、游離藥物濃度、腎絲球過濾率、CYP450誘導。",[24,27,30,32,34],{"term":25,"count":26},"腎絲球過濾率",3,{"term":28,"count":29},"妊娠藥物動力學",1,{"term":31,"count":29},"白蛋白結合率",{"term":33,"count":29},"潮氣容積",{"term":35,"count":29},"肝臟代謝",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-maternal-pediatric-005","有關產前胎兒生理活動評估，下列敘述何者正確？",5,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-111-1-maternal-pediatric-021","教導產婦執行產後運動時，膝胸臥式的主要目的為何？",21,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-maternal-pediatric-035","有關我國後天免疫缺乏症候群母嬰的照護，下列何者錯誤？①產婦的排泄物以漂白水浸泡 1 小時後再沖入馬桶 ②新生兒出生 7 天後即給予預防性投藥 ③可以採取親子同室 ④應鼓勵餵母奶以促進親子關係",35,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-112-2-maternal-pediatric-073","下列何者為評估病童「重度脫水」時會有的症狀或徵象？",73,112,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-113-3-maternal-pediatric-047","有關人工肛門造瘻口之術後護理指導，下列何者較適當？",47,113,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-115-1-maternal-pediatric-041","陳小妹，10 個月，診斷缺鐵性貧血（iron deficiency anemia），醫囑開立口服鐵劑，下列護理指導何者正確？",41,115,"2026-09-04",1788510729618]