[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-110-2-產兒科護理學-064","nurse-110-2-maternal-pediatric-064",110,2,64,"有關兒童毛地黃（Digoxin）給藥之護理指導，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"給藥前測橈動脈 1 分鐘，以監測心律不整","給予口服糖漿時與牛奶併用，增加服藥遵從性","忘記給藥的時間如未超過 6 小時，則補服一劑","長期服用需補充奶類食物，以預防低血鈣","C",null,[],"本題考點是兒童毛地黃(Digoxin)給藥的護理指導。考點在於毛地黃治療指數狹窄，給藥前須監測心跳並注意漏服補服原則。選項C「忘記給藥未超過6小時則補服一劑」正確，符合毛地黃漏服的處理原則，故為答案。A給藥前應測「心尖脈(apical pulse)」1分鐘而非橈動脈，且兒童心跳過慢時應停藥並通知醫師，測橈動脈並不準確，錯誤；B口服糖漿不宜與牛奶或食物併用以免影響吸收與遵從性判斷，錯誤；D毛地黃須注意的是低血鉀會增加毒性，應監測與補充鉀而非「補充奶類預防低血鈣」，錯誤。故唯C正確。","毛地黃安全給藥要點:給藥前測心尖脈滿1分鐘，嬰兒\u003C90–110、兒童\u003C70、成人\u003C60次\u002F分須停藥回報;治療血中濃度窄，中毒早期徵象為噁心嘔吐、視覺變化、心律不整。低血鉀、低血鎂、高血鈣增強毒性，故重點在監測血鉀。記憶:測心尖、看心跳、防低鉀、勿併奶。可連結:與利尿劑併用時排鉀致中毒風險升高;中毒解毒可用digoxin immune Fab。",[24,26,28,31],{"term":25,"count":10},"心尖脈監測",{"term":27,"count":10},"漏服補服原則",{"term":29,"count":30},"Digoxin給藥",1,{"term":32,"count":30},"低血鉀與毒性",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-065","小倫，6 個月大，患有法洛氏四重畸形（Tetralogy of Fallot, TOF），為維持心輸出量足夠身體所需之組織灌流的護理目標，下列護理措施何者不適當？",65,{"webId":39,"stem":40,"number":30,"year":41,"session":10},"nurse-111-2-maternal-pediatric-001","有關懷孕期正常內分泌變化的敘述，下列何者正確？",111,{"webId":43,"stem":44,"number":45,"year":46,"session":30},"nurse-112-1-maternal-pediatric-015","陳女士因陣痛入院待產，目前子宮頸口開 2 公分，Oxytocin 使用，宮縮每 6～7 分鐘一次，每次 20～30 秒，宮縮壓力：40～50 mmHg。主訴陣痛厲害無法忍受，下列措施何者最適當？",15,112,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-113-1-maternal-pediatric-003","王先生將成為準父親，有關王先生於配偶孕期之心理變化，下列何者最適當？",3,113,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-114-2-maternal-pediatric-007","王女士，G 1 P 0 ，已待產 13 小時，目前子宮頸口開 8 公分，呼吸急促，每次宮縮時皆以手拍打床面，身體呈現精疲力竭、情緒失控、出汗等現象，下列護理措施何者正確？",7,114,{"webId":58,"stem":59,"number":30,"year":60,"session":30},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,"2026-09-04",1788510730223]