[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-112-2-產兒科護理學-018","nurse-112-2-maternal-pediatric-018",112,2,18,"丁女士主訴無法忍受生產疼痛並接受 meperidine（Demerol）注射，給藥後護理師監測其呼吸速率低於每分鐘 10 次，下列何種藥物能改善此情形？",{"A":14,"B":15,"C":16,"D":17},"diazepam（Valium）","hydroxyzine（Vistaril）","promazine（Sparine）","naloxone（Narcan）","D",null,[],"本題考點為鴉片類藥物過量的專一性拮抗劑。meperidine（Demerol）屬鴉片類止痛劑，過量會抑制腦幹呼吸中樞造成呼吸速率下降，當呼吸低於每分鐘 10 次即為呼吸抑制。依藥理，naloxone（Narcan）為純鴉片受體拮抗劑，可競爭性阻斷鴉片與受體結合、逆轉呼吸抑制，故選 D。A diazepam 為苯二氮平類鎮靜劑，本身也抑制呼吸，會加重；B hydroxyzine 為抗組織胺鎮靜止吐劑，無拮抗作用；C promazine 屬吩噻嗪類抗精神病藥，同樣無法逆轉鴉片抑制。","naloxone 對 μ 受體親和力高但無內在活性，屬競爭性拮抗劑，靜脈給予數分鐘內即可回復呼吸；因半衰期短於部分鴉片類，需觀察是否再度抑制。產科用於待產止痛的鴉片過量或新生兒因母親用藥導致的呼吸抑制。記憶對比：naloxone 解鴉片、flumazenil 解苯二氮平、vitamin K 解 warfarin、protamine 解 heparin。",[24,27,30,32],{"term":25,"count":26},"呼吸抑制",3,{"term":28,"count":29},"鴉片類止痛劑 meperidine",1,{"term":31,"count":29},"naloxone 鴉片受體拮抗劑",{"term":33,"count":29},"μ 受體",[35,39,43,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-019","廖女士，41 歲，G 4 P 4 ，在今天早上 6 點以陰道分娩第四個女兒，現親子同室中，護理師詢問其他家人何時會來醫院，廖女士眼眶泛紅表示：「他們不會來啦，因為這胎又是女兒」，下列回應何者最適當？",19,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-112-3-maternal-pediatric-035","為促進早產兒的統整化行為，下列護理措施何者不適當？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-029","奇奇，2 歲，因為住院而出現分離焦慮，為了協助奇奇宣洩負向情緒，下列何種治療性遊戲較合適？",29,113,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-3-maternal-pediatric-027","罹患自閉症（autism）病童之行為表現，下列敘述何者錯誤？",27,114,{"webId":54,"stem":55,"number":29,"year":56,"session":10},"nurse-106-2-maternal-pediatric-001","生產是家庭關係重新開始的重要一環，下列何項醫療院所的政策有助於此理念的推展？",106,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-107-2-maternal-pediatric-035","正在接受第 2 次腹腔內化學治療的卵巢癌病人，主訴一直覺得噁心，下列回應何者最適當？",107,"2026-09-04",1788510748132]