[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-041":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-114-3-產兒科護理學-041","nurse-114-3-maternal-pediatric-041",114,3,41,"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？",{"A":14,"B":15,"C":16,"D":17},"增加心肌收縮力","維持動脈導管開放","增加下肢靜脈血回流","降低體循環的氧氣飽和度","B",null,[],"本題考點在於前列腺素 E1(Prostaglandin E1)用於大血管轉位(TGA)的目的。TGA 中主動脈接右心室、肺動脈接左心室,體循環與肺循環成兩個平行迴路,新生兒須靠動脈導管等交通維持含氧血混合才能存活;前列腺素 E1 可使動脈導管平滑肌鬆弛、維持其開放,故 B 正確。A 錯,增加心肌收縮力屬毛地黃等強心劑作用;C 錯,此藥非用於促進下肢靜脈回流;D 錯,治療目的在維持而非降低體循環血氧。","TGA 是發紺性先天性心臟病,存活關鍵在於有無「混合(mixing)」通道,如開放性動脈導管(PDA)、心房或心室中膈缺損。前列腺素 E1 靜脈輸注是術前的救命橋樑,常見副作用為呼吸暫停、發燒、低血壓,須嚴密監測;根本矯治則為動脈轉位手術。",[24,27,30,32],{"term":25,"count":26},"前列腺素 E1",4,{"term":28,"count":29},"大血管轉位 TGA",2,{"term":15,"count":31},1,{"term":33,"count":31},"發紺性先天性心臟病",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-042","小傑，8 歲，診斷再生不良性貧血（aplastic anemia），因白血球、紅血球及血小板下降而入院接受治療，下列護理何者最適當？",42,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-2-maternal-pediatric-038","王小弟，8 歲，罹患氣喘住院治療後病情已穩定，有關護理師提供居家照護指導，下列何者錯誤？",38,115,{"webId":45,"stem":46,"number":29,"year":47,"session":29},"nurse-106-2-maternal-pediatric-002","產科護理師針對護理照顧內容進行討論，並發展及驗證合適的護理措施，藉以提升專業之照護品質，是屬於下列何種角色功能？",106,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-107-2-maternal-pediatric-040","下列何種治療方式，最常用在子宮頸糜爛時的治療？",40,107,{"webId":54,"stem":55,"number":26,"year":56,"session":31},"nurse-109-1-maternal-pediatric-004","羊膜穿刺術理想檢測時間為懷孕 16～18 週，下列何者不是考量此時間點檢測的主要原因？",109,{"webId":58,"stem":59,"number":42,"year":60,"session":31},"nurse-110-1-maternal-pediatric-038","有關子宮頸癌的護理措施，下列敘述何者正確？",110,"2026-09-04",1788510762594]