[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-064","nurse-106-1-maternal-pediatric-064",106,1,64,"下列何者不是兒童急性風濕熱會出現的臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"心臟炎","皮下結節","四肢末梢脫皮","多發性關節炎","C",null,[],"本題考點為急性風濕熱的Jones診斷準則。依Jones主要準則,急性風濕熱表現為心臟炎、多發性關節炎、舞蹈症、環形紅斑與皮下結節,故A、B、D均屬其臨床表徵。C四肢末梢脫皮並非風濕熱表現,而是川崎氏症亞急性期的特徵,故為正確答案(不會出現者)。急性風濕熱是A群鏈球菌咽炎後的免疫反應,侵犯心臟瓣膜可留下慢性風濕性心臟病後遺症,與川崎症侵犯冠狀動脈的機轉不同,末梢脫皮應歸於川崎症而非風濕熱。","Jones準則口訣:Joints多關節炎、心臟炎(carditis)、Nodules皮下結節、Erythema marginatum環形紅斑、Sydenham舞蹈症;次要準則含發燒、關節痛、ESR\u002FCRP上升、PR間期延長。前提須有先前A群鏈球菌感染的證據(如ASO上升)。治療用盤尼西林根除鏈球菌並長期預防再發。末梢脫皮與草莓舌屬川崎症,勿與之混淆。",[24,27,29,31],{"term":25,"count":26},"急性風濕熱",3,{"term":28,"count":10},"Jones準則",{"term":30,"count":10},"A群鏈球菌",{"term":32,"count":10},"環形紅斑",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-065","霏霏，2 個月，罹患心房中膈缺損（ Atrial Septal Defect; ASD ），下列護理指導何者不恰當？",65,{"webId":39,"stem":40,"number":10,"year":41,"session":10},"nurse-107-1-maternal-pediatric-001","有關我國婦嬰生命統計之概況，下列何者正確？",107,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-107-2-maternal-pediatric-015","陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",15,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-maternal-pediatric-053","有關嬰兒急救的程序，下列敘述何者正確？",53,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",17,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-051","正常新生兒消化系統特徵的敘述，下列何者錯誤？",51,111,"2026-09-04",1788510694282]