[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-068":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-107-1-產兒科護理學-068","nurse-107-1-maternal-pediatric-068",107,1,68,"有關兒童會厭炎（epiglottitis）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"最常見的致病菌是 B 型流行性感冒嗜血桿菌","病童會無法平躺，會自動採坐姿，身體呈三腳架姿勢","協助醫師執行喉頭檢查時，宜備妥經鼻氣管插管的急救設備","做喉頭細菌培養檢查時，先以壓舌板壓住舌後根，便於採集檢體","D",null,[],"本題考點是兒童會厭炎(epiglottitis)的照護,要找錯誤敘述。依會厭炎處置禁忌,絕不可用壓舌板壓舌後根或直接檢查咽喉,因刺激已腫脹的會厭可能誘發喉痙攣或完全性呼吸道阻塞,故 D 錯誤,為正解。選項 A 正確:最常見致病菌為 B 型流行性感冒嗜血桿菌(Hib)。選項 B 正確:病童因會厭腫脹阻塞氣道,會自動採坐姿、前傾成三腳架姿勢並流口水。選項 C 正確:因隨時可能完全阻塞,檢查前須備妥氣管插管等急救設備。錯項 D 直接觸犯『不可刺激咽喉』的鐵則。","會厭炎是兒科耳鼻喉急症,四大典型徵象(4 D):Drooling(流口水)、Dysphagia(吞嚥困難)、Dysphonia(聲音悶啞)、Distress(呼吸窘迫),伴高燒、坐姿前傾三腳架姿。照護鐵律:任何刺激咽喉的動作(壓舌板、抽痰、平躺、採檢)都可能引發致命的喉痙攣與完全阻塞,故檢查應在具備立即插管或氣切能力的環境下、由專科醫師執行。Hib 疫苗普及後發生率大降。記憶:『會厭炎不亂碰喉、備好氣道再檢查』,D 正是踩到這條禁忌。",[24,26,28,30],{"term":25,"count":10},"會厭炎epiglottitis",{"term":27,"count":10},"禁止壓舌板刺激咽喉",{"term":29,"count":10},"B型嗜血桿菌Hib致病",{"term":31,"count":10},"三腳架前傾姿勢",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-maternal-pediatric-069","造成嬰幼兒上呼吸道感染及合併中耳炎的原因，下列敘述何者正確？",69,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-1-maternal-pediatric-005","一位單胞胎孕前 BMI 為 30 的孕婦，其飲食與體重的護理指導，下列何者最適當？",5,108,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-108-2-maternal-pediatric-019","有關剖腹產術後照護之敘述，下列何者錯誤？",19,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-109-2-maternal-pediatric-057","有關麻疹（measles）的症狀敘述，下列敘述何者正確？",57,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-maternal-pediatric-021","教導產婦執行產後運動時，膝胸臥式的主要目的為何？",21,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-maternal-pediatric-055","吳小弟血型為 B 型，因血型與 O 型的母親不合而造成溶血，下列敘述何者正確？",55,112,"2026-09-04",1788510703900]