[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-產兒科護理學-033","nurse-106-1-maternal-pediatric-033",106,1,33,"承上題，沈女士住院安胎，依醫囑予 MgSO 4 2 gm 稀釋於 5% D\u002FW 500 c.c.，以 5 mL\u002Fmin 靜脈滴注，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"注意孕婦是否有 MgSO 4 中毒現象，如深部肌腱反射增強、呼吸受抑制","50% Calcium gluconate 應置於床邊，以備 MgSO 4 中毒時解毒之用","須監控每小時尿量宜少於 25 mL，以避免水分攝取過多導致肺水腫","MgSO 4 可能造成呼吸抑制現象，應監控呼吸速率，宜大於 12 次\u002F分","D",null,[],"本題考點為硫酸鎂(MgSO₄)靜脈給藥的安全監測。依藥理毒性表現,鎂離子過量會抑制神經肌肉傳導,故監測呼吸速率是關鍵,一般以呼吸大於 12 次\u002F分為安全下限,低於此須警覺呼吸抑制,選D正確。A 錯在中毒徵象是深部肌腱反射「減弱或消失」而非增強,反射消失是最早的過量警訊;B 錯在解毒劑濃度,床邊應備「10% Calcium gluconate」而非 50%;C 錯在尿量標準相反,每小時尿量應維持「大於」25–30 mL,過少反而使鎂排出受阻而蓄積中毒。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840734274]