[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-045":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-045","nurse-106-1-maternal-pediatric-045",106,1,45,"下列何種藥物可能與雷氏症候群（Reye syndrome）有關，不建議兒童使用？",{"A":14,"B":15,"C":16,"D":17},"Acetaminophen","Ibuprofen","Ketorolac","Aspirin","D",null,[],"本題考點為雷氏症候群(Reye syndrome)與藥物的關聯。依藥理與流行病學,兒童於病毒感染(如流感、水痘)期間使用阿斯匹靈(Aspirin,水楊酸類)會顯著增加雷氏症候群風險,造成急性腦病變與肝臟脂肪變性,故選D,不建議兒童使用。Acetaminophen(A)是兒童首選的退燒止痛藥,無此關聯;Ibuprofen(B)與 Ketorolac(C)雖為非類固醇消炎藥,但與雷氏症候群的明確關聯者為水楊酸類,故不選。","雷氏症候群記憶要點:「病毒感染期兒童+阿斯匹靈=禁忌」。臨床表現為劇烈嘔吐、意識改變到抽搐昏迷,合併肝功能異常與高血氨,但通常無黃疸。因此兒童退燒改用 Acetaminophen 或 Ibuprofen。這也解釋了為何水痘、流感衛教都特別強調避用阿斯匹靈,與後續登革熱題同屬『避用水楊酸』的一貫用藥安全考點。",[24,27,29,31,33],{"term":25,"count":26},"雷氏症候群",4,{"term":28,"count":10},"阿斯匹靈(水楊酸類)",{"term":30,"count":10},"兒童退燒用藥",{"term":32,"count":10},"病毒感染",{"term":34,"count":10},"Acetaminophen 替代",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-maternal-pediatric-046","有關兒童肌肉注射部位的考量，下列敘述何者正確？",46,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-106-2-maternal-pediatric-062","有關學童發生氣喘會出現病理生理上的變化，下列敘述何者錯誤？",62,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-107-1-maternal-pediatric-076","有關膀胱輸尿管逆流（Vesicoureteral Reflux, VUR），下列敘述何者錯誤？",76,107,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-108-2-maternal-pediatric-034","下列何者不是用來判斷孕婦是否破水的方法？",34,108,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-109-2-maternal-pediatric-078","有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",78,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-111-1-maternal-pediatric-032","有關患有心臟病的孕婦最易發生心臟衰竭的時期，下列何者錯誤？",32,111,"2026-09-04",1788510694058]