[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-070":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-112-1-產兒科護理學-070","nurse-112-1-maternal-pediatric-070",112,1,70,"小軒，6 歲，體重 20 公斤，診斷為尿崩症，有關診斷與護理處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在接受禁水試驗（fluid deprivate test）過程中，體重減少至 1 公斤時，繼續試驗","24 小時尿液分析之尿比重降低","當病況穩定後，可經由鼻腔噴霧法給予血管緊縮素，效果可維持 8～20 小時","避免過度給予血管緊縮素，造成尿量減少、體液滯留體內以及頭痛等症狀","A",null,[],"本題考點為兒童尿崩症（DI）的禁水試驗與血管加壓素治療。DI 因抗利尿激素不足，尿液無法濃縮，24 小時尿比重降低（B 正確）；穩定後可經鼻噴 desmopressin，藥效約可維持數小時至一日（C 正確）；過量會致水中毒、尿量減少、體液滯留與頭痛（D 正確）。錯誤敘述為 A：禁水試驗中若體重下降達一定比例（約 3～5%）或出現脫水徵象即應「停止試驗」，而非繼續，故選 A。","禁水試驗原理：限水後正常人尿液會濃縮、體重穩定；DI 病人仍持續排稀尿、體重快速下降。安全停止條件：體重下降>3～5%、血壓下降或明顯脫水，須即刻補液並抽血檢驗以免危險。中樞型 DI 對 desmopressin（合成 ADH）有反應；過量致低血鈉水中毒。記憶：試驗以「安全停損」為前提。",[24,26,28,30],{"term":25,"count":10},"兒童尿崩症",{"term":27,"count":10},"抗利尿激素 ADH",{"term":29,"count":10},"禁水試驗停止指標",{"term":31,"count":10},"desmopressin",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-071","罹患癌症之嬰幼兒，需要接受骨髓穿刺檢查，最常選擇的部位為何？",71,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-maternal-pediatric-007","張女士，G 1 P 0 ，懷孕 40 週，下列何者是真陣痛的特徵？",7,3,{"webId":43,"stem":44,"number":10,"year":45,"session":46},"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？",113,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-114-2-maternal-pediatric-049","關於 β 型海洋性貧血（thalassemia）為體染色體隱性遺傳疾病，當父親及母親皆為帶因者，下一代罹患海洋性貧血的機率為何？",49,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-053","翰翰，剛出生，發現有吸入胎便，有關胎便吸入症候群，下列護理評估與判斷何者正確？",53,106,{"webId":58,"stem":59,"number":40,"year":60,"session":46},"nurse-107-2-maternal-pediatric-007","針對胎兒胚胎發育成身體各器官及構造中，下列何者是由中胚層發育而來？",107,"2026-09-04",1788510743047]