[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-107-2-產兒科護理學-015","nurse-107-2-maternal-pediatric-015",107,2,15,"陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",{"A":14,"B":15,"C":16,"D":17},"告知產婦藥物的常見副作用，包括尿滯留、噁心、嘔吐等","觀察產婦的頭暈嗜睡狀況，確保使用床欄","每小時監測陰道出血情形","密切監測胎心率的變異性","C",null,[],"本題考點在待產止痛藥 meperidine 的護理監測重點。meperidine 為鴉片類止痛劑，副作用包括尿滯留、噁心嘔吐（A 適宜衛教）、頭暈嗜睡故須拉起床欄防跌（B 適宜），且會通過胎盤降低胎心率變異性與造成新生兒呼吸抑制，故須密切監測胎心率變異性（D 適宜）。C 每小時監測陰道出血與 meperidine 的藥理作用無直接關聯，屬產後或胎盤相關監測項目，非此藥的護理焦點，故為「較不適宜」選項。本題要辨識鴉片類藥物的中樞與胎兒影響，故選 C。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":36,"stem":37,"number":38,"year":27,"session":22},"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":40,"stem":41,"number":42,"year":27,"session":22},"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":44,"stem":45,"number":46,"year":27,"session":22},"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？",6,1783840751615]