[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-066","nurse-110-2-maternal-pediatric-066",110,2,66,"30 週早產之男嬰，出生體重 1,500 公克，診斷開放性動脈導管（patent ductus arteriosus），以 Indomethacin 靜脈注射治療，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"尿量＜1 mL\u002Fkg\u002Fhr 時應通知醫師調整藥物劑量","治療前聽診較少出現心雜音","因肺動脈血流下降易造成發紺","Indomethacin 易造成血栓之副作用","A",null,[],"本題考點是早產兒開放性動脈導管(PDA)以Indomethacin治療的照護。考點在於Indomethacin為前列腺素合成抑制劑，會影響腎血流與血小板功能。選項A「尿量\u003C1 mL\u002Fkg\u002Fhr時通知醫師調整藥物」正確，因該藥可致腎血流下降、少尿，須監測尿量並回報，故為答案。B治療前導管未閉，理應「較常」聽到連續性機器樣心雜音而非較少，錯誤；C PDA屬左到右分流、肺血流增加，一般不造成發紺，錯誤；D Indomethacin抑制血小板功能，副作用為出血傾向而非血栓，錯誤。故唯A正確。","動脈導管靠前列腺素維持開放;Indomethacin抑制前列腺素合成而促其關閉。副作用三監測:腎功能(少尿、BUN\u002FCr上升)、血小板功能(出血)、腸道血流(壞死性腸炎)。相對地，前列腺素(prostaglandin)則用於須維持導管開放的發紺型心臟病。PDA為左到右分流→肺充血、心雜音。記憶:Indo關導管、傷腎、易出血;PGE1開導管。可連結:早產兒PDA與呼吸窘迫、心衰竭關係密切，無效時需手術結紮。",[24,26,29,31],{"term":25,"count":10},"開放性動脈導管",{"term":27,"count":28},"Indomethacin",1,{"term":30,"count":28},"前列腺素抑制",{"term":32,"count":28},"腎功能與尿量監測",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-067","阿強，9 歲，罹患 G-6-PD 缺乏症，因全身黃疸住院治療，有關此疾病之誘發因子，下列敘述何者錯誤？",67,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-maternal-pediatric-003","有關周產期死亡率的定義，下列何者正確？",3,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-017","有關胎心音監測的敘述，下列何者正確？",17,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-maternal-pediatric-005","有關妊娠期的心臟血管系統生理變化，下列敘述何者錯誤？",5,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-maternal-pediatric-009","周女士，G 1 P 0 ，懷孕 39 週。兩小時前由配偶陪同入院待產，目前腹部上裝著電子胎兒監測器臥床休息中。配偶指著機器上的胎心率紀錄紙，問：「這要怎麼看？」。以臺灣目前最常使用的方式為例，下列的說明內容，何者最不適當？",9,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",106,"2026-09-04",1788510730247]