[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-065":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-065","nurse-106-1-maternal-pediatric-065",106,1,65,"霏霏，2 個月，罹患心房中膈缺損（ Atrial Septal Defect; ASD ），下列護理指導何者不恰當？",{"A":14,"B":15,"C":16,"D":17},"一般不會出現發紺現象","1 歲以內將近一半會自動閉合","需小心照護，減少呼吸道感染","按時服用前列腺素 E 1 （Prostaglandin E 1 ）","D",null,[],"本題考點為心房中膈缺損的血流動力學與用藥判斷。ASD屬左向右分流,含氧血由左心房流向右心房,肺循環血流增加但體循環仍為含氧血,故一般不發紺(A對);續發孔型ASD約半數在1歲內自動閉合(B對);肺血流增多易反覆呼吸道感染故需防護(C對)。D錯在前列腺素E1的作用是維持動脈導管開放,用於須靠導管維持血流混合的發紺型先天性心臟病,ASD並不需要,若不當使用反而增加肺血流負擔,故為不恰當的指導。",[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？",6,1783840734550]