[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-057":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-109-1-產兒科護理學-057","nurse-109-1-maternal-pediatric-057",109,1,57,"小春，國中 3 年級，1 年前被診斷罹患青少年憂鬱症，曾服用 fluoxetine 及 ativan 治療。最近因會考在即，課業壓力導致失眠，情緒常常不穩定，今在家忽然情緒失控，故至醫院求治，醫師表示可能憂鬱症再發，需再服藥治療。母親詢問護理師應該要怎麼做對小春最好，下列回答何者為佳？",{"A":14,"B":15,"C":16,"D":17},"多給予小春獨處的空間，及提供獨立思考的時間","如果服藥後有嗜睡的副作用則可先停藥，避免影響功課","可幫小春請家教或上補習班，幫助小春成績進步以減少壓力","可多陪伴小春，鼓勵到戶外曬太陽與進行規律運動","D",null,[],"本題考點在於青少年憂鬱症的支持性照護原則。依憂鬱症照護與自殺防治概念，患者需要的是增加陪伴、減少孤立，並透過規律運動與日照促進血清素分泌以改善情緒，故 D 最佳。A 錯在給予過多獨處空間，憂鬱個案獨處易加深負向反芻與自殺風險，應避免長時間單獨。B 錯在自行停藥，fluoxetine（SSRI 類抗憂鬱劑）需規律服用且不可因副作用自行中斷，以免症狀反彈。C 錯在增加課業安排，患者本就因會考壓力發病，補習與家教反而加重壓力源、適得其反。故正確回答為 D，以陪伴、運動與日照支持病童。",[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？",6,1783840748343]