[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":10},"nurse-106-1-產兒科護理學-057","nurse-106-1-maternal-pediatric-057",106,1,57,"有關出血性登革熱（dengue hemorrhagic fever）敘述，下列護理措施何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"需小心注意觀察病童可能出現腹水、肋膜積水、低血壓等臨床變化","病童會發高燒及全身肌肉關節疼痛，建議使用水楊酸類解熱鎮痛","衛教家人居家預防之道，為撲滅埃及斑蚊及白線斑蚊等病媒蚊","因其屬於第二類法定傳染疾病，發現新病例需報告當地衛生主管機關","B",null,[],"本題考點為出血性登革熱(DHF)的護理措施,題目要選「錯誤」。依用藥安全,登革熱有血小板下降與出血傾向,水楊酸類(如阿斯匹靈)會抑制血小板功能並增加出血與雷氏症候群風險,故退燒應改用 Acetaminophen,選項B建議使用水楊酸類為錯誤。觀察腹水、肋膜積水、低血壓等血漿滲漏徵象(A)正確;衛教撲滅埃及斑蚊與白線斑蚊等病媒蚊(C)正確;登革熱屬第二類法定傳染病須通報衛生機關(D)亦正確。","登革熱退燒『只用 Acetaminophen、禁阿斯匹靈與 NSAID』是必背安全紅線,因血小板低下時抗血小板藥會加重出血。DHF 的核心病理是血漿滲漏,警訊為血比容上升合併血小板驟降、腹痛、持續嘔吐、黏膜出血與嗜睡,對應 A 的觀察項目。防治採病媒蚊源頭管理(清積水)。此『避用水楊酸』原則與前面雷氏症候群、兒童退燒題一脈相承。",[24,26,28,30,32],{"term":25,"count":10},"出血性登革熱(DHF)",{"term":27,"count":10},"水楊酸類禁忌",{"term":29,"count":10},"血小板下降出血傾向",{"term":31,"count":10},"血漿滲漏",{"term":33,"count":10},"法定傳染病通報",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-058","小瑛，出生時體重為 3 Kg，有關其體重的發展之評估標準，下列何者正確？",58,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-maternal-pediatric-074","林小妹，9 歲，診斷為闌尾炎（Appendicitis）預進行盲腸切除手術。有關手術前後的護理措施，下列何者正確？",74,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-107-2-maternal-pediatric-008","下列何種情況最常利用超音波偵測胎兒臍帶動脈血流，以評估胎兒之生長發育？",8,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-maternal-pediatric-046","雯雯是法洛氏四重畸形（Tetralogy of Fallot’s）的病嬰，當其出現發紺嚴重時，護理師為其採膝胸臥式姿勢，可使症狀改善的原理為何？",46,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-maternal-pediatric-010","有關受精的敘述，下列何者錯誤？",10,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-044","有關新生兒搖晃症候群（Shaken Baby Syndrome）的敘述，下列何者錯誤？",44,111,"2026-09-04",1788510694197]