[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-111-2-產兒科護理學-078","nurse-111-2-maternal-pediatric-078",111,2,78,"小強，7 歲，罹患癲癇，有長期服用抗癲癇藥，包括 Phenytoin(Dilantin)及 Valproic acid(Depakine)，有關藥物護理指導，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"指導父母須定時返院監測血中藥物濃度","當疾病發作被控制時，可暫停服用藥物以降低副作用","Dilantin 易造成牙齦增生，須執行良好的口腔護理","雖有定時服用藥物，仍鼓勵維持正常生活習慣，以預防發作","B",null,[],"本題考點為長期服用抗癲癇藥(Phenytoin、Valproic acid)的用藥指導。抗癲癇藥須規律服用維持血中治療濃度，不可自行停藥，突然停藥恐誘發癲癇重積狀態。B 敘述「發作被控制時可暫停服藥以降低副作用」是錯誤的，任何時候都不可自行停藥，故為答案。A 定時返院監測血中藥物濃度,確保治療濃度並避免中毒,正確;C Phenytoin(Dilantin)已知副作用為牙齦增生,須加強口腔護理,正確;D 規律服藥同時維持正常生活作息(規律睡眠、避免誘因)以預防發作,正確。考點在於強調抗癲癇藥「規律不中斷、勿自行停藥」的核心原則。","抗癲癇藥治療窗窄需監測血中濃度(Phenytoin 10～20 μg\u002FmL)。Phenytoin 特徵副作用:牙齦增生、多毛、共濟失調、Stevens-Johnson 症候群;Valproic acid 需監測肝功能與血小板。自行停藥為誘發癲癇重積(status epilepticus)的常見原因,停藥須由醫師漸進調整。",[24,26,28,31],{"term":25,"count":10},"血中藥物濃度監測",{"term":27,"count":10},"牙齦增生",{"term":29,"count":30},"抗癲癇藥物",1,{"term":32,"count":30},"勿自行停藥",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-079","有關腦性麻痺（cerebral palsy）兒童常見的健康問題，下列敘述何者較不適當？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-maternal-pediatric-015","高女士，G 2 P 0 ，懷孕 38 週，因規則陣痛且自然破水而入院待產。待產期間沒有接受硬脊膜外麻醉，已入院待產 13 小時，目前子宮收縮每 2～3 分鐘一次，持續 50 秒，子宮頸口擴張 8 公分，胎兒高度 −1。請問，高女士此時最不可能出現下列何種徵象或行為反應？",15,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-029","小偉因腦膜炎住院，依醫囑給與小偉藥物治療，醫師醫囑為：Dexamethasone（10 mg\u002F2 mL\u002Fvial）7 mg Q8H 靜脈滴注，護理師每次給藥應抽多少 mL 的藥物劑量？",29,3,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-114-1-maternal-pediatric-027","有關兒童遭受虐待的護理處置，下列敘述何者錯誤？",27,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-031","有關健康兒童各階段已完成發展的動作敘述，下列何者較不適當？",31,115,{"webId":59,"stem":60,"number":41,"year":61,"session":30},"nurse-107-1-maternal-pediatric-015","下列何者是子宮頸擴張最快的時期？",107,"2026-09-04",1788510739707]