[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-2-產兒科護理學-023","nurse-114-2-maternal-pediatric-023",114,2,23,"有關妊娠高血壓婦女在預防產後大出血之護理措施，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"注射 Ergonovine","子宮按摩","測宮底位置及宮縮","監控惡露量與會陰傷口","A",null,[],"本題考點在於妊娠高血壓婦女預防產後出血的用藥禁忌。依處置原則，子宮按摩(B)、監測宮底位置與宮縮(C)、監控惡露量與會陰傷口(D)皆為安全且必要的措施。本題為反向題，最不適當者為A，Ergonovine(麥角新鹼)會使全身血管收縮而升高血壓，妊娠高血壓婦女使用恐誘發腦血管意外，屬相對禁忌，故選A。此類產婦若需宮縮劑多改用oxytocin。","麥角製劑(Ergonovine、Methergine)靠血管平滑肌收縮止血,故高血壓、子癇前症為禁忌。相對地oxytocin作用於子宮而較不升壓,是高血壓產婦的首選宮縮劑。產後出血四大原因(4T):Tone子宮收縮乏力、Tissue胎盤殘留、Trauma產道裂傷、Thrombin凝血異常。",[24,27,29],{"term":25,"count":26},"產後出血預防",5,{"term":28,"count":10},"妊娠高血壓",{"term":30,"count":31},"Ergonovine禁忌",1,[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-2-maternal-pediatric-024","有關子宮內膜癌婦女接受全子宮切除術及放射線治療之護理，下列敘述何者不適當？",24,{"webId":38,"stem":39,"number":40,"year":41,"session":31},"nurse-115-1-maternal-pediatric-020","張女士，懷孕 32 週，突然感到下腹疼痛，陰道流出暗紅色血液，立即就診，下列何者為最有可能的問題？",20,115,{"webId":43,"stem":44,"number":45,"year":46,"session":31},"nurse-106-1-maternal-pediatric-014","胎兒以面產式，胎頭完全仰伸進入骨盆時，呈現的徑線為下列何者？",14,106,{"webId":48,"stem":49,"number":50,"year":51,"session":31},"nurse-107-1-maternal-pediatric-052","有關先天性甲狀腺功能低下症（Congenital Hypothyroidism）之敘述，下列何者錯誤？",52,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-2-maternal-pediatric-016","吳女士 G 2 P 1 ，她希望生產時能免除會陰切開術，以維持會陰的完整性，有關第二產程的護理措施，下列何者錯誤？",16,108,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-109-2-maternal-pediatric-050","當護理師為病童點眼藥水時，下列敘述何者較不適宜？",50,109,"2026-09-04",1788510760123]