[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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":11},"nurse-114-1-產兒科護理學-007","nurse-114-1-maternal-pediatric-007",114,1,7,"有關待產婦因過度產痛所引起的不良生理變化，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"伴隨產痛的過度換氣，將造成待產婦出現定向感障礙、感覺異常及四肢痙攣","產痛將增加待產婦自主神經活性，減少胎盤血液灌流，增加胎兒呼吸性酸中毒的危險","產程過程中激烈產痛，易產生壓力反應，增加抗利尿激素分泌","待產過程出現過度換氣，增加待產婦呼吸性酸中毒的發生","D",null,[],"本題考點在於過度產痛引起的生理變化，為反向題，須找出錯誤者。錯誤者為 D：待產時過度換氣使二氧化碳大量排出，血中二氧化碳下降，造成的是呼吸性鹼中毒而非酸中毒，故 D 錯誤為本題答案。A 過度換氣致低二氧化碳血症，可出現頭暈、定向感障礙、口周及四肢感覺異常甚至痙攣，正確；B 產痛增加交感神經活性、使胎盤血流下降，增加胎兒缺氧與呼吸性酸中毒風險，正確；C 劇烈產痛的壓力反應會增加抗利尿激素分泌，正確。","過度換氣使 CO₂ 排除過多、PaCO₂ 下降、血液偏鹼即呼吸性鹼中毒，並使鈣離子結合增加而出現手足抽搐、感覺異常。緩解概念為以口罩或雙手罩口鼻重吸自身 CO₂、放慢呼吸。注意母體是鹼中毒，但胎盤灌流下降時胎兒反而易呼吸性酸中毒，母胎方向相反是易混淆點。",[24,26,29,32],{"term":25,"count":11},"胎盤灌流",{"term":27,"count":28},"呼吸性鹼中毒",4,{"term":30,"count":31},"過度換氣",2,{"term":33,"count":10},"低二氧化碳血症",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-maternal-pediatric-008","有關吸入性麻醉藥（inhalation anesthesia），下列敘述何者錯誤？",8,{"webId":40,"stem":41,"number":28,"year":9,"session":42},"nurse-114-3-maternal-pediatric-004","王女士，懷孕 36 週，第一胎，擔心不知何種情況要前往醫院待產，住家離醫院約 20 分鐘車程，下列指導何者最適當？",3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-115-1-maternal-pediatric-048","陳小弟，8 歲，罹患癲癇，有關癲癇的照護，下列敘述何者錯誤？",48,115,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-106-2-maternal-pediatric-066","盼盼，6 歲，罹患先天性心臟病，依醫囑服用毛地黃，下列何者不是毛地黃中毒的症狀？",66,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-030","李小弟出生第 2 天，無臉部表情與眼睛活動，呼吸規律，偶有驚嚇反應及突發的吸吮動作，此睡眠與活動狀態屬於那一期？",30,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,109,"2026-09-04",1788510757685]