[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-111-1-產兒科護理學-032","nurse-111-1-maternal-pediatric-032",111,1,32,"有關患有心臟病的孕婦最易發生心臟衰竭的時期，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"懷孕 22～26 週","懷孕 28～32 週","待產陣痛時","產後 48 小時內","A",null,[],"本題考點為心臟病孕婦最易發生心臟衰竭的高危時期。妊娠血流動力學使心輸出量隨孕程遞增,約在懷孕28-32週達血容量高峰,加上待產陣痛時子宮收縮使回心血量驟增、以及產後48小時內子宮血液回流與體液再分布,均為心臟負荷最重、最易失代償的時期,故B、C、D皆屬高危險期。而懷孕22-26週尚未到血容量高峰,並非最易發生心衰的時期,故A敘述錯誤為答案。","妊娠血容量約自第6週增加、於28-32週達高峰(增約40-50%),此時心臟前負荷最大。三大危險關卡:32週前後血容量高峰、產程中每次宮縮擠出約300-500ml血入循環、產後子宮收縮使胎盤循環血回流加上下腔靜脈壓迫解除。記憶:血最多(32週)、最用力(產程)、最回流(產後)——三關最怕心衰。",[24,26,28,30],{"term":25,"count":10},"妊娠血容量高峰",{"term":27,"count":10},"心臟病孕婦",{"term":29,"count":10},"心臟衰竭高危期",{"term":31,"count":10},"血流動力學",[33,37,42,47,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-maternal-pediatric-033","有關孕婦接受 B 群（乙型）鏈球菌篩檢之敘述，下列何者錯誤？",33,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-maternal-pediatric-049","有關兒童疼痛的處理，下列何者最不適當？",49,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-063","下列那種疾病不是由 A 群 β 型溶血性鏈球菌所引起？",63,112,{"webId":48,"stem":49,"number":10,"year":50,"session":41},"nurse-113-2-maternal-pediatric-001","有關以家庭為中心的產科護理模式之敘述，下列何者錯誤？",113,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-114-3-maternal-pediatric-005","盧女士，G 2 P 1 ，目前懷孕 16 週，常常跟大寶說未來可以跟小寶一起溜滑梯，那會很有趣。此為魯賓（Rubin）理論的那一項母性任務？",5,114,3,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-maternal-pediatric-049","王小弟，10 歲，頭部外傷住加護病房治療，因病情穩定轉出至兒科病房，然病童仍躁動不安，欲拔除鼻胃管及靜脈注射留置針，經護理評估為了病人安全需給予約束，下列護理措施何者正確？",106,"2026-09-04",1788510735604]