[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-004":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-110-2-產兒科護理學-004","nurse-110-2-maternal-pediatric-004",110,2,4,"懷孕期間由於生理機能改變，使得藥物在孕婦體內的吸收、分布、代謝與排泄均有改變，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"潮氣容積量下降，使吸入性藥物的吸收減少","藥物與白蛋白結合比例降低，肝臟對藥物的代謝能力增加","腎絲球過濾率增加，藥物的代謝變慢","胃排空加快胃酸分泌增加，藥物滯留腸胃道時間減少","B",null,[],"本題考點為妊娠期藥物動力學的生理性改變。依孕期血漿容積大幅增加使白蛋白相對稀釋,藥物與白蛋白結合比例下降、游離藥物增加,加上肝臟代謝酵素活性上升,故正確者為B。(A)孕期潮氣容積是「增加」而非下降,吸入性藥物吸收反而增多。(C)腎絲球過濾率上升應使藥物排除加快,而非代謝變慢。(D)孕期胃排空「減慢」、胃酸分泌減少,藥物滯留腸胃道時間延長。考點在於孕期整體呈現高血漿容積、低蛋白結合、肝代謝增強與腎清除增加的趨勢。",1,[24,28,31,35,38,42],{"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":11,"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",{"webId":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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？",6,1783840766392]