— 藥理與非經腸給藥 · HARD · MCQ —
病人使用催產素（Oxytocin）引產。護理師的首要行動為何？
A client is receiving oxytocin for labor induction. What is the priority nursing action?
- AAdminister pain relief給予止痛藥
- BEmpty the bladder排空膀胱
- CMonitor fetal heart rate continuously✓ 正解持續監測胎心率
- DMonitor maternal blood pressure監測孕婦血壓
— Explanation · 中文詳解 —
催產素（Oxytocin）會加強子宮收縮，若收縮過強（Tachysystole）會導致子宮血流供應減少，直接影響胎兒氧氣交換，造成胎兒窘迫（Fetal distress）。因此，持續胎心監測（Continuous fetal heart rate monitoring）是使用催產素時確保胎兒安全的首要護理行動，任何心率異常均需立即停藥。
Oxytocin induces uterine contractions that may cause tachysystole, reducing uteroplacental perfusion and risking fetal distress. Consequently, continuous fetal heart rate monitoring is the priority intervention to ensure fetal well-being during labor induction.