[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-114-3-產兒科護理學-018","nurse-114-3-maternal-pediatric-018",114,3,18,"游女士，G 1 P 0 ，懷孕 41 週，故至醫院進行催生，子宮頸未開，最常給予引發子宮收縮的藥物為下列何者？",{"A":14,"B":15,"C":16,"D":17},"Yutopar ®","MgSO 4","PGE2","Betamethasone","C",null,[],"本題考點在於子宮頸未成熟時的引產用藥選擇。當子宮頸尚未擴張時，首要目標是促進「子宮頸成熟」，臨床最常使用前列腺素製劑 PGE2（dinoprostone）使子宮頸軟化變薄並誘發收縮，故選 C。A 的 Yutopar（Ritodrine）是子宮鬆弛劑，用於安胎抑制早產宮縮，方向相反；B 的 MgSO₄ 用於子癇前症解痙與胎兒神經保護，也會抑制宮縮；D 的 Betamethasone 是促進早產兒肺部成熟的類固醇，與引產無關。故選 C。","引產前先以 Bishop score 評估子宮頸成熟度：分數低（\u003C6）表示未成熟，先用前列腺素（PGE2 dinoprostone、PGE1 misoprostol）促熟；子宮頸成熟後再以催產素（Oxytocin\u002FPitocin）強化規律宮縮。切勿把「安胎藥（Ritodrine、MgSO₄）」與「引產藥」搞反——這是產科用藥最常見的方向性陷阱。",[24,27,29,31],{"term":25,"count":26},"引產與子宮頸成熟",1,{"term":28,"count":26},"前列腺素 PGE2(dinoprostone)",{"term":30,"count":26},"Bishop score",{"term":32,"count":26},"安胎藥與引產藥之別",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-019","檢查新生兒是否有髖關節先天發育不良，其檢查方法何者正確？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-015","蔡女士，G 1 P 1 ，新生兒出生體重 3800 公克，產後第二天，都沒有脹奶的感覺，而且新生兒幾乎是含著乳房入睡，放下來就哭。進行哺乳相關資料收集發現，新生兒現在體重 3500 公克，早上 9 點剛換過一次尿片，混雜尿尿及大量墨綠色大便。有關產後住院期間的照護建議，下列何者不適當？",15,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-maternal-pediatric-059","小華，5 歲大，疑似細菌性支氣管炎，使用脈衝式血氧分析法（Pulse Oximetry）偵測脈動血氧，下列敘述何者錯誤？",59,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-017","陳女士 G 2 P 0 獨自來待產，下列何種情況需立即通知醫師？",17,107,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-maternal-pediatric-061","小健，國中一年級，罹患第一型糖尿病（type 1 diabetes mellitus），有關糖尿病照護，下列敘述何者正確？",61,108,{"webId":60,"stem":61,"number":41,"year":62,"session":26},"nurse-110-1-maternal-pediatric-015","以下那些護理評估可以知道待產婦已開始進入第二產程？①破水 ②子宮規則收縮 ③陰道排出粉紅色黏液 ④子宮頸完全擴張 ⑤會陰可見胎頭膨出，個案有不自主用力感",110,"2026-09-04",1788510762416]