[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-產兒科護理學-003","nurse-115-1-maternal-pediatric-003",115,1,3,"張女士，懷孕期頻繁噁心嘔吐的情況很不舒服，下列護理指導何者較不合適？",{"A":14,"B":15,"C":16,"D":17},"與人類絨毛膜促性腺素（hCG）濃度有關，懷孕前三個月症狀最明顯","儘量避免空腹或是油膩食物對輕微者較有效","嚴重的懷孕噁心嘔吐通常給與維生素 B6 治療","進食後儘快喝水或刷牙，有助於去除噁心感","D",null,[],"本題考點是孕期噁心嘔吐的成因與非藥物處理原則。依嘔吐反射的機轉,進食後立刻大量喝水會使胃快速膨脹、胃內壓升高,刷牙則直接刺激咽部與軟顎誘發嘔吐反射,反而加重噁心,故 D 是較不合適的指導。A 正確,晨吐與人類絨毛膜促性腺素(hCG)濃度相關,hCG 約在第 8–10 週達高峰,故懷孕前三個月症狀最明顯。B 正確,少量多餐、避免空腹與高油脂食物可縮短胃排空延遲並穩定血糖,對症狀輕微者有效。C 正確,維生素 B6(pyridoxine)是孕期噁心嘔吐的第一線藥物,常與抗組織胺類併用。","區辨的關鍵在程度:一般孕期噁心嘔吐屬自限性,多在 12–16 週後緩解;若進展為妊娠劇吐(hyperemesis gravidarum),則以體重較孕前下降超過 5%、脫水、電解質不平衡與酮尿為特徵,處理層級升高到靜脈輸液矯正水分電解質。飲食指導可記成「乾、少、慢、離」:起床前先吃乾的蘇打餅、少量多餐、進食速度慢、水分與固體食物間隔開來(餐間補水而非餐後立刻大量喝水)。藥理上維生素 B6 作為輔酶參與神經傳導物質代謝,是安全性分級較佳的首選;止吐藥的選擇則需衡量致畸風險。可延伸複習:hCG 的其他生理作用(維持黃體、與甲狀腺刺激素受體有交叉反應,故劇吐者偶見暫時性甲狀腺功能異常)。",[24,27,30,32,34],{"term":25,"count":26},"少量多餐",4,{"term":28,"count":29},"嘔吐反射",2,{"term":31,"count":10},"人類絨毛膜促性腺素",{"term":33,"count":10},"妊娠劇吐",{"term":35,"count":10},"維生素 B6",[37,40,44,49,54,59],{"webId":38,"stem":39,"number":26,"year":9,"session":10},"nurse-115-1-maternal-pediatric-004","王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-115-2-maternal-pediatric-050","小富，17 歲，因左側股骨骨折須以石膏固定，有關小富所需要的護理，下列敘述何者正確？",50,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-2-maternal-pediatric-014","高女士第一胎，待產時子宮收縮每 5～7 分鐘一次，持續時間 30～40 秒，強度為輕微～中度，子宮頸口為 2～3 公分，少許陰道出血，尚未破水，神情顯得愉快。此時適宜的護理指導為何？",14,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-2-maternal-pediatric-052","幼年型類風濕性關節炎兒童的護理措施，下列敘述何者正確？",52,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-016","李女士，子宮頸口開 4 公分，擬採腰椎硬脊膜外阻斷麻醉。護理師先行給予林格氏液 Lactated Ringer’s solution 500 c.c.，其維持靜脈輸液的主要目的是：",16,109,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-110-1-maternal-pediatric-050","嬰兒最早發展的知覺為下列何者？",110,"2026-08-06",1787299089174]