[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-111-1-產兒科護理學-012","nurse-111-1-maternal-pediatric-012",111,1,12,"有關分娩的鎮痛與麻醉藥物之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"marcaine 為脊髓麻醉常用藥物，術後無須平躺","meperidine 常用於第一產程活動期止痛用，naloxone 為解毒劑","meperidine 具呼吸抑制之副作用及胎兒心跳變異性減低","fentanyl 具呼吸抑制及低血壓之副作用，naloxone 為解毒劑","A",null,[],"本題考點在於分娩鎮痛與麻醉藥物的特性與術後照護。依脊髓麻醉的照護原則,脊髓麻醉會使腦脊髓液滲漏而易致姿勢性頭痛,傳統上術後需平躺以減少頭痛,故 A「marcaine 為脊髓麻醉常用藥物,術後無須平躺」敘述不當,為本題答案。B meperidine 常用於第一產程活動期止痛,naloxone 為其解毒劑,正確。C meperidine 會抑制呼吸並降低胎兒心跳變異性,正確。D fentanyl 具呼吸抑制及低血壓副作用,naloxone 可拮抗鴉片類作用,正確。","分娩用藥重點:meperidine、fentanyl 屬鴉片類止痛劑,共通副作用為呼吸抑制(母體與新生兒)與胎心變異性下降,naloxone 是共同拮抗劑,故若近分娩給藥須警覺新生兒呼吸抑制。marcaine(bupivacaine)為局部麻醉劑用於脊髓\u002F硬脊膜外麻醉。脊髓麻醉後頭痛(PDPH)源於腦脊髓液滲漏,護理上鼓勵平躺、補充水分、必要時血液貼片(blood patch),與硬脊膜外麻醉的照護略有差異。",[24,27,29,31,33],{"term":25,"count":26},"meperidine",2,{"term":28,"count":10},"分娩鎮痛",{"term":30,"count":10},"脊髓麻醉",{"term":32,"count":10},"fentanyl",{"term":34,"count":10},"naloxone 拮抗劑",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-013","有關待產時裝置胎兒監測器的注意事項，下列何者錯誤？",13,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-maternal-pediatric-029","下列何項為新生兒晚期飢餓的暗示行為（late hunger cues）？",29,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-maternal-pediatric-043","李小妹，2 歲 8 個月，屬於李小妹遊戲發展特點，下列敘述何者正確？",43,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-maternal-pediatric-031","當嬰幼兒初次接觸陌生人或新環境，會表現出接受或退縮的態度。此為氣質評估內容中那一個項目？",31,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-2-maternal-pediatric-035","有關早產兒身體外觀的特徵，下列敘述何者錯誤？",35,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-maternal-pediatric-029","有關江女士的表現，下列何者為潛在適應不良的徵兆？",106,"2026-09-04",1788510735422]