[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-065":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-111-2-產兒科護理學-065","nurse-111-2-maternal-pediatric-065",111,2,65,"有關早產兒開放性動脈導管的醫療處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"沒有症狀者，可於 12 週內自動關閉","給予前列腺素 E1(PGE1)是優先的治療方式","出生體重低於 1000 g 有心衰竭症狀，宜提早作結紮手術","可在左側第二肋間聽到連續性的心雜音，成長至幼兒時期，若導管仍未關閉，通常會先考慮導管栓塞術","B",null,[],"本題考點為早產兒開放性動脈導管(PDA)的處置原則。動脈導管的開放依賴前列腺素維持，治療 PDA 的目標是「關閉」導管，故應給予前列腺素合成抑制劑(如 Indomethacin、Ibuprofen)，而非給予前列腺素 E1(PGE1)；PGE1 反而用來「維持」導管開放(如導管依賴型先天性心臟病)，B 用藥方向相反，為錯誤選項。A 無症狀 PDA 有機會於數週內自行閉合，屬正確觀察處置；C 極低體重合併心衰竭、藥物無效時提早結紮手術，符合外科指引，正確；D 於左側第二肋間可聽到連續性機械樣心雜音，且幼兒期未閉合改採導管栓塞術，敘述正確。考點在於分辨「抑制前列腺素以關閉導管」與「給予前列腺素以維持導管」兩者用途相反，故錯誤為 B。",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？",6,1783840793561]