[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-106-1-產兒科護理學-031","nurse-106-1-maternal-pediatric-031",106,1,31,"妊娠早期之孕婦若感染下列何種疾病，容易導致胎兒先天性心臟病、耳聾、白內障等不良後果？",{"A":14,"B":15,"C":16,"D":17},"梅毒（syphilis）","風濕性心臟病（rheumatic heart disease）","傷寒（typhoid fever）","德國麻疹（rubella）","D",null,[],"本題考點為母體感染的致畸胎作用,重點在辨識「先天性德國麻疹症候群」(CRS)。依病毒學,德國麻疹(rubella)於妊娠早期器官形成期經胎盤垂直感染,典型三聯症為先天性心臟病(常見開放性動脈導管)、感覺神經性耳聾與白內障,故選D。梅毒(A)造成的是先天性梅毒,以肝脾腫大、骨軟骨炎、鞍鼻為表現,非此三聯症;風濕性心臟病(B)是母體後天瓣膜疾病,不具致畸性;傷寒(C)為沙門氏菌腸道感染,不會導致上述先天缺陷。此三聯症是國考辨識致畸原的經典考點。","記憶口訣可用「心、眼、耳」三聯症鎖定德國麻疹。CRS 的關鍵在感染時機:愈早(前三個月)器官尚在形成,傷害愈嚴重且範圍愈廣。臨床上因此推行婚前或孕前 rubella 抗體篩檢與 MMR 疫苗接種(活性減毒疫苗,孕期禁打、接種後避孕一個月)。可與 TORCH 症候群(Toxoplasma、Others、Rubella、CMV、HSV)一起記,皆屬經胎盤致畸感染群。",[24,27,29,31,33],{"term":25,"count":26},"TORCH 感染",3,{"term":28,"count":10},"先天性德國麻疹症候群(CRS)",{"term":30,"count":10},"致畸原",{"term":32,"count":10},"德國麻疹三聯症",{"term":34,"count":10},"胎盤垂直感染",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-maternal-pediatric-032","沈女士，21 歲，懷孕 30 週產檢時發現血壓 150\u002F100 mmHg，經診治與追蹤 1 個月後，血壓仍維持在 150\u002F100～160\u002F110 mmHg 之間，34 週產檢時血壓 160\u002F100 mmHg 合併尿蛋白(+)及水腫(+)情形，根據這些臨床徵候，沈女士可能罹患下列何項合併症？",32,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-106-2-maternal-pediatric-048","筱華，5 歲，在幼兒園吃完午餐時，會模仿老師收拾餐盒，此行為表現依據艾瑞克森（Erikson）的理論，她的發展屬於何階段？",48,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-maternal-pediatric-062","早產兒出生後通常會接受呼吸治療，有關動脈血液氣體數值分析，下列何者屬於正常範圍？",62,107,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-108-2-maternal-pediatric-020","有關產後生理變化的敘述，下列何者正確？",20,108,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-109-2-maternal-pediatric-064","小東 8 個月，診斷為法洛氏四重症（Tetralogy of Fallot），哭鬧厲害全身發紺，此時護理師給予氧氣，並將小東擺為膝胸臥式之目的為何？",64,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-maternal-pediatric-018","陳女士，產後 1 週，表示有易怒、失眠、沒有食慾、注意力不集中的情形，其最有可能的情況為何？",18,111,"2026-09-04",1788510693880]