[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-050":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-050","nurse-111-1-maternal-pediatric-050",111,1,50,"有關對於兒童疼痛控制的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"meperidine 用於癌末疼痛控制，但不適合人工血管術後病童","naloxone 為鴉片類藥物拮抗劑，可緩解呼吸抑制的副作用","morphine 為鴉片類製劑，常使用於開刀後病童的疼痛控制","acetaminophen 易產生耐受性，故不建議於兒科疼痛的控制","B",null,[],"本題考點是兒童疼痛控制的藥理概念。依藥理分類，naloxone 為純鴉片類受體拮抗劑，能競爭性阻斷鴉片受體，用以逆轉鴉片類藥物過量所致的呼吸抑制，敘述正確，選 B。A 錯在 meperidine 代謝物 normeperidine 具神經毒性、易累積致癲癇，不建議用於癌末長期疼痛控制，敘述前後皆偏差。C 敘述本身正確（morphine 常用於術後鎮痛），但題目要選「正確」，B 更為標準完整且無爭議，惟依官方答案以 B 為正解，morphine 用於術後鎮痛的觀念仍應熟記。D 錯在 acetaminophen 不具耐受性與成癮性，是兒科常用且安全的解熱鎮痛劑。","naloxone 為競爭性拮抗劑，半衰期短，逆轉呼吸抑制後仍須留意再度嗜睡而需重複給藥。meperidine（Demerol）因 normeperidine 累積致神經興奮與癲癇，現多不建議常規或長期使用。acetaminophen 作用於中樞、無周邊抗發炎作用，主要風險是過量肝毒性而非耐受。記憶串接：拮抗劑救呼吸抑制找 naloxone、術後強效鎮痛用 morphine、輕中度發燒疼痛用 acetaminophen。可延伸連結鴉片副作用與 WHO 疼痛階梯。",[24,27,29,31,33],{"term":25,"count":26},"meperidine神經毒性",2,{"term":28,"count":10},"naloxone鴉片拮抗劑",{"term":30,"count":10},"呼吸抑制逆轉",{"term":32,"count":10},"morphine術後鎮痛",{"term":34,"count":10},"acetaminophen",[36,40,44,48,53,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-maternal-pediatric-051","正常新生兒消化系統特徵的敘述，下列何者錯誤？",51,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-maternal-pediatric-067","小蘋，5 歲，診斷為缺鐵性貧血，血紅素（Hb）為 5.5 g\u002FdL，下列何項身體反應與此檢驗值最不相關？",67,{"webId":45,"stem":46,"number":10,"year":47,"session":26},"nurse-112-2-maternal-pediatric-001","有關嬰兒死亡率之敘述，下列何者正確？",112,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-2-maternal-pediatric-019","有關正確含乳（suckling）的表徵，下列敘述何者不適當？",19,113,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-114-3-maternal-pediatric-023","產婦產後立即性大出血，必須嚴密監測下列何項情況的發生？",23,114,3,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-maternal-pediatric-067","有關兒童感染人類免疫缺乏病毒（HIV）的症狀，下列何者錯誤？",106,"2026-09-04",1788510735790]