[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-106-1-產兒科護理學-075","nurse-106-1-maternal-pediatric-075",106,1,75,"有關沙門氏菌（Salmonella）感染引致的兒童急性腸胃炎，其大便型態之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"水樣無臭味","含膿樣分泌物","含有黏膜","含有血絲","D",null,[],"本題考點為沙門氏菌腸胃炎的糞便型態辨識。依沙門氏菌屬侵襲性細菌會侵犯腸黏膜引起發炎的特性,其糞便典型為綠色、帶黏液與血絲且惡臭,故D「含有血絲」正確。A水樣無臭味為輪狀病毒等病毒性腸胃炎的表現;B含膿樣分泌物較符合志賀氏菌(細菌性痢疾)侵襲性結腸炎的膿血便特徵;C僅含黏膜的描述不具沙門氏菌的侵襲性出血特徵。沙門氏菌因侵入腸壁造成黏膜損傷出血,故糞便帶血絲是其鑑別重點。","腸胃炎糞便型態可協助推斷病原:病毒性(輪狀病毒)多為大量水樣、無血無膿;侵襲性細菌(沙門氏菌、志賀氏菌、曲狀桿菌)侵犯腸壁產生黏液血便;毒素型(金黃色葡萄球菌、產毒大腸桿菌)以水瀉為主。沙門氏菌常來自未熟蛋與禽肉,可致菌血症。口訣:水瀉想病毒、血黏便想侵襲菌。處置重點是補液防脫水。",[24,26,28,30],{"term":25,"count":10},"沙門氏菌",{"term":27,"count":10},"侵襲性細菌",{"term":29,"count":10},"血絲黏液便",{"term":31,"count":10},"腸胃炎糞便鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-maternal-pediatric-076","李小妹，9 歲，剛被診斷為惡性腦瘤，母親擔心李小妹知道病情之後會傷心，所以不僅隱瞞病情，還整天面帶笑容，而李小妹卻說：「我這麼不舒服，我媽還笑嘻嘻，她有愛我嗎？」下列護理措施何者較適當？",76,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-107-1-maternal-pediatric-012","王女士，懷孕 38 +3 週，因破水，規則陣痛而入院，子宮頸口開 5 cm，先露部位胎頭已固定，下列照護措施何者不適當﹖",12,107,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-107-2-maternal-pediatric-026","下列何者為產後霍曼氏徵象（Homan’s sign）的評估方式？",26,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-maternal-pediatric-064","凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",64,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-028","下列新生兒的皮膚評估，何者為異常？",28,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-062","小佩，3 歲，因長期出現扁桃腺發炎，此次住院欲進行扁桃腺切除手術，有關手術後護理措施，下列敘述何者正確？",62,111,"2026-09-04",1788510694448]