[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-111-2-產兒科護理學-065","nurse-111-2-maternal-pediatric-065",111,2,65,"有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"沒有症狀者，可於 12 週內自動關閉","給予前列腺素 E1(PGE1)是優先的治療方式","出生體重低於 1000 g 有心衰竭症狀，宜提早作結紮手術","可在左側第二肋間聽到連續性的心雜音，成長至幼兒時期，若導管仍未關閉，通常會先考慮導管栓塞術","B",null,[],"本題考點為早產兒開放性動脈導管(PDA)的處置原則。動脈導管的開放依賴前列腺素維持，治療 PDA 的目標是「關閉」導管，故應給予前列腺素合成抑制劑(如 Indomethacin、Ibuprofen)，而非給予前列腺素 E1(PGE1)；PGE1 反而用來「維持」導管開放(如導管依賴型先天性心臟病)，B 用藥方向相反，為錯誤選項。A 無症狀 PDA 有機會於數週內自行閉合，屬正確觀察處置；C 極低體重合併心衰竭、藥物無效時提早結紮手術，符合外科指引，正確；D 於左側第二肋間可聽到連續性機械樣心雜音，且幼兒期未閉合改採導管栓塞術，敘述正確。考點在於分辨「抑制前列腺素以關閉導管」與「給予前列腺素以維持導管」兩者用途相反，故錯誤為 B。","口訣：要『關』導管用『抑制劑』(indomethacin\u002Fibuprofen)，要『留』導管用『前列腺素 E1』。PGE1 常用於大動脈轉位、肺動脈閉鎖等導管依賴型心臟病，術前維持體循環與肺循環交通。前列腺素使平滑肌鬆弛維持管腔開放，抑制其合成則促進導管收縮閉合。",[24,27,29,32],{"term":25,"count":26},"前列腺素 E1",4,{"term":28,"count":10},"開放性動脈導管",{"term":30,"count":31},"前列腺素合成抑制劑",1,{"term":33,"count":31},"導管依賴型心臟病",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-066","為了增加法洛氏四重症（TOF）兒童的肺循環血流，以增加其左心充氧血的含量，下列照護處置何者錯誤？",66,{"webId":40,"stem":41,"number":10,"year":42,"session":10},"nurse-112-2-maternal-pediatric-002","丁女士 30 歲，G 1 P 0 ，懷孕 20 週，至門診產檢。懷孕前身體質量指數（BMI）為 20，懷孕後體重增加 3 公斤，宮底高肚臍上一橫指，詢問「肚子會不會太小？」護理師最合適的回答為何？",112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-016","有關產後會陰傷口評估與護理措施，下列敘述何者正確？",16,3,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-114-1-maternal-pediatric-014","下列何者最適合採用泌乳期無月經法（LAM）作為避孕方法？",14,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-018","握住新生兒的大腿並輕輕往下施壓，做內收（adduction）動作，檢查股骨頭在關節內是否有滑脫現象，此為新生兒先天性髖關節脫臼的何種徵象測試？",18,115,{"webId":59,"stem":60,"number":10,"year":61,"session":31},"nurse-107-1-maternal-pediatric-002","有關臺灣產科護理現況之敘述，下列何者正確？",107,"2026-09-04",1788510739575]