[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-1-產兒科護理學-062","nurse-106-1-maternal-pediatric-062",106,1,62,"吳小弟，2 歲，因持續發燒 5 天以上，且出現嘴唇發紅乾裂及草莓樣舌，診斷為川崎氏症，下列何者不屬於川崎氏症兒童的重要症狀觀察項目？",{"A":14,"B":15,"C":16,"D":17},"肛門周圍皮膚脫皮","呼吸喘促","眼結膜充血","四肢末梢紅腫","B",null,[],"本題考點為川崎氏症(黏膜皮膚淋巴結症候群)的診斷性表徵辨識。依其診斷準則,發燒5天以上合併雙側非化膿性結膜充血、口唇乾裂草莓舌、四肢末梢紅腫脫皮、多形性皮疹與頸部淋巴結腫大為核心觀察項目,肛門周圍脫皮亦為特徵之一,故A、C、D皆屬應觀察重點。B呼吸喘促屬呼吸系統表現,非川崎氏症典型症狀,故為不屬於的選項。川崎氏症真正需警覺的是冠狀動脈瘤等心血管併發症,而非呼吸道症狀,因此觀察焦點在心臟而非呼吸。","川崎症是全身性中小血管炎,最怕冠狀動脈瘤,故急性期給予免疫球蛋白(IVIG)與阿斯匹靈。診斷口訣「燒5天加5」:結膜、嘴唇口腔、四肢、皮疹、頸淋巴結,符合發燒加四項即可診斷。指甲周圍與肛周脫皮多見於亞急性期。若病童真出現呼吸喘,應想到心臟受累導致的心衰竭,而非疾病本身的表徵。",[24,27,29,31],{"term":25,"count":26},"冠狀動脈瘤",3,{"term":28,"count":10},"川崎氏症診斷準則",{"term":30,"count":10},"黏膜皮膚淋巴結症候群",{"term":32,"count":10},"末梢脫皮",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-063","有關大動脈轉位（Transposition of the Great Arteries; TGA）的新生兒之護理評估，下列表徵何者錯誤？",63,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-maternal-pediatric-079","小玲，出生 3 天，診斷為脊髓之脊髓膜膨出且合併有水腦症，有關其手術前的護理措施，下列敘述何者錯誤？",79,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-107-2-maternal-pediatric-013","王女士 G 2 P 1 ，在待產活動期時接受腰椎硬膜外麻醉，護理師發現王女士的血壓突然降低，下列護理措施何者最不適宜？",13,107,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-108-2-maternal-pediatric-051","病童罹患厭食症，於營養復健期間，因過度餵食、體重快速增加可能造成的問題，下列敘述何者正確？",51,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-maternal-pediatric-015","以下那些護理評估可以知道待產婦已開始進入第二產程？①破水 ②子宮規則收縮 ③陰道排出粉紅色黏液 ④子宮頸完全擴張 ⑤會陰可見胎頭膨出，個案有不自主用力感",15,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-maternal-pediatric-049","小苗，5 歲，因小腿蜂窩性組織炎住院接受治療，護理師在進行「兒童疼痛概念」發展之評估時，下列敘述何者最適當？",49,111,"2026-09-04",1788510694251]