[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-051":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-108-1-產兒科護理學-051","nurse-108-1-maternal-pediatric-051",108,1,51,"10 歲的大華罹患癲癇（Epilepsy）以口服 phenobarbital（luminal）藥物治療，護理人員給予大華母親的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"定時帶大華回診抽血，監測血中藥物濃度","尿液顏色變紅棕色是正常現象","服藥 6 週後未再發生抽搐，即可停藥","發作後須進食高碳水化合物飲食，以避免低血糖造成抽搐再度發作","A",null,[],"本題考點在 phenobarbital 這類抗癲癇藥的用藥安全監測。此藥治療濃度與中毒濃度區間狹窄（治療血中濃度約 15–40 µg\u002FmL），濃度過低無法控制發作、過高則出現鎮靜與運動失調，故須定時回診抽血監測血中藥物濃度，選 A。選項 B 錯在尿液變紅棕色並非本藥正常反應，紅棕色尿常見於 rifampin 或 phenazopyridine。選項 C 錯在抗癲癇藥不可因短期未發作即自行停藥，驟停會誘發癲癇重積，須由醫師評估逐漸減量。選項 D 錯在發作後並不需刻意進食高碳水化合物飲食，癲癇發作與低血糖引起的抽搐機轉不同，不應混為一談。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"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？",106,{"webId":28,"stem":29,"number":30,"year":26,"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":32,"stem":33,"number":34,"year":26,"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":36,"stem":37,"number":38,"year":26,"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":40,"stem":41,"number":42,"year":26,"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":44,"stem":45,"number":46,"year":26,"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？",6,1783840745516]