[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-057":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-106-2-產兒科護理學-057","nurse-106-2-maternal-pediatric-057",106,2,57,"小明為小一學生，日前罹患水痘，校護對於小明返校上課的建議，下列何者適當？",{"A":14,"B":15,"C":16,"D":17},"出疹後 5～6 天","疹子化膿後 5～6 天","疹子結疤乾燥後 7～8 天","使用抗生素後 7～8 天","C",null,[],"本題考點在水痘(varicella)的傳染期與返校時機。水痘傳染力極強,傳染期為出疹前 1–2 天至所有疹子結痂乾燥為止;判斷可返校的標準是水泡全部結痂乾燥(不再有新水泡、無傳染性),選 C。A 錯在出疹後 5–6 天疹子可能尚未全部結痂,仍具傳染力。B 錯在水痘疹子正常是結痂而非化膿,『化膿』描述有誤且時間點不符傳染期判斷。D 錯在水痘為病毒感染,抗生素對病毒無效(僅在續發細菌感染時使用),不能以用抗生素作為返校依據。關鍵在『結痂乾燥=不再傳染』。","水痘由 varicella-zoster virus(VZV)引起,經飛沫與接觸傳染。傳染期:出疹前 1–2 天到全部病灶結痂(通常出疹後約 5–7 天)。皮疹特徵為『同時可見各期病灶』(斑丘疹、水泡、膿泡、結痂並存),此為與天花的鑑別點。抗病毒藥 acyclovir 用於高危族群。隔離解除以『全部結痂』為準,而非固定天數。記憶:『結痂才安全,抗生素無用』。VZV 潛伏於背根神經節,再活化即帶狀疱疹。",[24,27,29,31],{"term":25,"count":26},"水痘(varicella-zoster virus)",1,{"term":28,"count":26},"傳染期(結痂乾燥前)",{"term":30,"count":26},"病毒感染抗生素無效",{"term":32,"count":26},"隔離解除標準",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-058","小明，1 歲半，診斷為川崎氏症而住院治療。醫囑給予小明高劑量 Aspirin 100 mg\u002Fkg\u002Fday，及靜脈注射免疫球蛋白（intravenous immune globulin）2g\u002Fkg。下列護理指導內容，何者不適當？",58,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-074","若注射化學藥物出現紅腫、疼痛及水泡時，有關下列照護及處理步驟，其順序何者正確？①每日追蹤滲漏部位變化 ②以空針反抽滲漏部位的藥物 ③在滲漏部位局部冰敷或熱敷或塗抹藥物 ④停止注射",74,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-008","一般建議孕期無壓力試驗（NST）開始測試的時間點和目的之敘述，下列何者正確？",8,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-046","下列何者不是瀕死兒童的生理變化？",46,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-010","懷孕 30 週婦女，主訴想強化骨盆肌肉群，下列產前運動之建議何者正確？①盤腿坐姿運動 ②凱格爾運動 ③蹲踞運動 ④膝胸臥式運動 ⑤腹肌收縮運動",10,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-044","小奇，2 個月大，在吃奶時，突然沒有呼吸、心跳，且嘴唇發紫，保母立即施以心肺復甦術，下列步驟何者錯誤？",44,111,"2026-09-04",1788510699607]