[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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":25},"nurse-111-1-產兒科護理學-030","nurse-111-1-maternal-pediatric-030",111,1,30,"子癇前症孕婦以硫酸鎂（MgSO 4 ）治療期間的護理評估重點，下列何者最重要？",{"A":14,"B":15,"C":16,"D":17},"意識狀態之變化","身體平衡反應","深部肌腱反射","指尖再灌流檢測","C",null,[],"本題考點為子癇前症使用硫酸鎂(MgSO4)治療時的鎂中毒監測。鎂離子會抑制神經肌肉傳導,最早出現的中毒徵象是深部肌腱反射(DTR)減弱或消失,故監測深部肌腱反射是判斷鎂濃度是否過量最重要且最靈敏的指標,C正確。意識變化、呼吸抑制屬更晚期、更嚴重的中毒表現;身體平衡反應與指尖再灌流並非鎂中毒的核心監測項目,故A、B、D非最重要,答案為C。","MgSO4中毒監測順序(隨血中濃度升高):膝反射消失→呼吸抑制(\u003C12次\u002F分)→尿量減少(\u003C30ml\u002Fhr)→心跳停止。故臨床監測四寶為DTR、呼吸、尿量,DTR消失是最先且最重要的警訊。解毒劑為葡萄糖酸鈣(calcium gluconate)須備床邊。記憶:打鎂先看膝反射,反射不見就要停藥、備鈣。",[24,26,28,30],{"term":16,"count":25},3,{"term":27,"count":10},"硫酸鎂 MgSO4",{"term":29,"count":10},"鎂中毒監測",{"term":31,"count":10},"葡萄糖酸鈣解毒",[33,37,42,47,52,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-maternal-pediatric-031","王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",31,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-maternal-pediatric-047","小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",47,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-061","小華，9 個月，診斷為雙側中耳炎（Otitis Media），有關中耳炎之臨床表徵，下列敘述何者錯誤？",61,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-maternal-pediatric-049","小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",49,113,{"webId":53,"stem":54,"number":25,"year":55,"session":25},"nurse-114-3-maternal-pediatric-003","李女士，懷孕 28 週，主訴有腿部抽筋和背痛的症狀，護理師評估後，發現她僅攝取少量的乳製品，且很少吃綠葉蔬菜。根據她的情況，鈣質攝取不足最可能導致下列那一種健康問題？",114,{"webId":57,"stem":58,"number":40,"year":59,"session":10},"nurse-106-1-maternal-pediatric-047","下列為 2 歲幼兒滴耳藥的護理步驟，那一個環節出現錯誤？",106,"2026-09-04",1788510735589]