[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-061":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-061","nurse-106-2-maternal-pediatric-061",106,2,61,"有關兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）的臨床表徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"病程進展非常快速，易出現 39℃以上高溫","常侵犯肺葉及肺小葉，聽診時會有呼氣末期囉音","咳嗽明顯，痰液黏稠、量多，宜儘速痰液培養","血清檢查可發現特定的抗體濃度升高，白血球數值可能正常","D",null,[],"本題考點在黴漿菌肺炎(mycoplasma pneumonia)的臨床特徵。黴漿菌肺炎屬非典型肺炎,病程較緩、以乾咳為主,血清學可測得特異性抗體(如冷凝集素)上升,而白血球數常正常或僅輕度升高,選 D。A 錯:非典型肺炎病程緩慢、發燒多中低度,非快速高燒 39℃以上。B 錯:黴漿菌多為間質性瀰漫浸潤,非侵犯肺葉\u002F肺小葉的實質化表現。C 錯:以持續乾咳為主,痰量不多不黏稠,黴漿菌無細胞壁需特殊培養、不易培出,非首要診斷。","黴漿菌(Mycoplasma pneumoniae)無細胞壁,故 β-lactam 類抗生素(青黴素、頭孢)無效,治療用大環內酯類(macrolide,如 erythromycin\u002Fazithromycin)。臨床『walking pneumonia(會走路的肺炎)』:症狀輕、乾咳久、X 光浸潤卻比理學檢查嚴重(症狀與影像不成比例)。診斷靠血清抗體或冷凝集素。記憶:『無壁菌怕紅黴素、乾咳走路肺炎、抗體升白球正常』。好發學齡兒與青少年。",[24,27,29,31],{"term":25,"count":26},"黴漿菌肺炎(非典型肺炎)",1,{"term":28,"count":26},"特異性抗體升高",{"term":30,"count":26},"白血球正常",{"term":32,"count":26},"無細胞壁(macrolide 治療)",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-062","有關學童發生氣喘會出現病理生理上的變化，下列敘述何者錯誤？",62,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-078","張小妹，9 個月大，體重原為 9 公斤，因腹瀉入院治療。臨床表徵，體重現為 8.3 公斤、囟門凹陷、皮膚及黏膜乾燥、脈搏增加、少尿，有關脫水程度之評估，下列何者正確？",78,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-012","江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",12,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-050","有關兒童白血病的敘述，下列何者正確？",50,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-014","有關第二產程的敘述，下列何者錯誤？",14,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-048","有關執行兒童生命徵象的測量，下列敘述何者錯誤？",48,111,"2026-09-04",1788510699674]