[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-040":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-113-2-產兒科護理學-040","nurse-113-2-maternal-pediatric-040",113,2,40,"小光，3 個月大，診斷為法洛氏四重畸形，在矯正手術前，依醫囑給與 prostaglandin E 1 （PGE 1 ）的理由，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"使動脈導管維持開放，增加主動脈的血量","使動脈導管維持開放，增加肺動脈的血量","使動脈導管儘早關閉，減少肺動脈的壓力","使動脈導管儘早關閉，減少主動脈的壓力","B",null,[],"本題考點在於前列腺素 E1（PGE1）在法洛氏四重畸形術前的作用機轉。法洛氏四重畸形（TOF）含肺動脈狹窄，肺血流不足導致發紺，術前給予 PGE1 的目的是「維持動脈導管開放（keep PDA open）」，讓血液能經開放的動脈導管由主動脈流向肺動脈，增加肺血流與肺部氧合，故選 B（維持動脈導管開放、增加肺動脈血量）。A 錯，目的不是增加主動脈血量，TOF 缺的是肺血流而非體循環血量。C、D 錯，PGE1 的作用是「維持開放」而非「儘早關閉」動脈導管；關閉導管會使依賴導管供應肺血流的發紺型心臟病病嬰惡化。本題須掌握 PGE1 保持動脈導管開放的藥理作用，以及 TOF 需增加肺血流的病生理邏輯。",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？",6,1783840796464]