[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-032":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":26},"nurse-112-2-產兒科護理學-032","nurse-112-2-maternal-pediatric-032",112,2,32,"王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",{"A":14,"B":15,"C":16,"D":17},"監測高血壓現象","監測低血糖現象","需注意胸痛、呼吸困難現象","發生心搏過速，應立即停藥","C",null,[],"本題考點為安胎藥 ritodrine（Yutopar）的作用與副作用監測。ritodrine 為 β2 腎上腺素受體促效劑，藉放鬆子宮平滑肌抑制早產宮縮。考點在於其 β 受體刺激可能引發母體心血管與肺部併發症，最須警覺胸痛、呼吸困難（提示肺水腫或心肌缺血），故選 C。A 錯誤，β 促效劑造成周邊血管擴張，多見低血壓而非高血壓；B 錯誤，其促進糖解與升糖作用會導致高血糖而非低血糖；D 錯誤，用藥期間心搏過速屬常見副作用，通常心跳超過 120～140 才考慮處理，並非一出現心搏過速即立即停藥。","β2 促效劑因缺乏完全選擇性，會同時刺激 β1 產生心搏過速、心悸，並可能誘發肺水腫（尤其合併輸液過量、多胎或感染時），為最嚴重的副作用。代謝上造成高血糖與低血鉀。監測重點：母體心率、肺部聽診、血糖與電解質、胎心率。記憶：安胎用「鬆子宮的 β 藥」，副作用就是全身被 β 刺激——心跳快、血糖高、血壓低、當心肺水腫。",[24,27,29,31],{"term":25,"count":26},"ritodrine β2 受體促效劑",1,{"term":28,"count":26},"安胎抑制宮縮",{"term":30,"count":26},"肺水腫與胸痛呼吸困難",{"term":32,"count":26},"高血糖與心搏過速",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-033","有關比夏計分法（Bishop’s score）之敘述，下列何者正確？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-049","有關兒童顱內壓增高的臨床表徵及處置，下列敘述何者錯誤？",49,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-043","小琪，女嬰，新生兒篩檢診斷為先天性腎上腺增生症（congenital adrenal hyperplasia, CAH），護理師提供給小琪父母的護理指導，下列敘述何者最不適當？",43,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-041","陳小妹，出生後診斷大血管轉位（transposition of the great arteries, TGA），醫囑服用前列腺素（Prostaglandin E 1 ），有關此藥的使用目的，下列敘述何者正確？",41,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-015","高女士已超過預產期 3 天，醫師建議入院引產，下列敘述何者正確？",15,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-049","婷婷，9 個月大，體重 9 公斤，母親主訴最近一天解水便數次，現體重為 8 公斤，此屬於下列何種情況？",107,"2026-09-04",1788510748261]