[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-107-2-產兒科護理學-039","nurse-107-2-maternal-pediatric-039",107,2,39,"朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",{"A":14,"B":15,"C":16,"D":17},"子宮外孕","巴氏腺囊腫","卵巢囊腫","骨盆腔炎","D",null,[],"本題考點在依臨床表徵與病原培養判斷生殖道感染的診斷。病人有流產手術史(器械操作破壞屏障)、發燒、下腹壓痛、子宮頸膿狀分泌物,加上培養出淋病雙球菌、披衣菌與黴漿菌等上行性性傳染病原,符合上生殖道感染的骨盆腔炎(PID),故選 D。A 子宮外孕以停經、單側腹痛與陰道出血表現,不會有膿性分泌物與此類病原;B 巴氏腺囊腫為外陰局部腫塊;C 卵巢囊腫多無感染性發燒與膿分泌物。故最符合者為 D。","PID 為子宮頸以上(子宮內膜、輸卵管、卵巢、骨盆腹膜)的感染,多由淋病雙球菌與披衣菌上行造成,流產、放置子宮內避孕器等器械操作為誘因。典型三徵:下腹痛、子宮頸搖痛、附件壓痛。併發症含輸卵管沾黏致不孕、外孕與慢性骨盆疼痛。診斷後需廣效抗生素涵蓋淋病與披衣菌。記憶:膿性子宮頸分泌物+性病病原+下腹壓痛=PID。",[24,25,28,30],{"term":17,"count":10},{"term":26,"count":27},"淋病雙球菌",1,{"term":29,"count":27},"披衣菌",{"term":31,"count":27},"子宮頸搖痛",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-2-maternal-pediatric-040","下列何種治療方式，最常用在子宮頸糜爛時的治療？",40,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-108-1-maternal-pediatric-056","王小妹，8 歲，國小 2 年級，依據皮亞傑（Piaget）認知發展理論，其處於「具體運思期」階段，有關此階段發展特性，下列何者正確？",56,108,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-108-2-maternal-pediatric-070","小紅，7 歲，因發燒、咳嗽、流鼻水症狀而入院。診斷為黴漿菌感染性肺炎（mycoplasma pneumonia），下列敘述何者正確？",70,{"webId":47,"stem":48,"number":49,"year":50,"session":27},"nurse-110-1-maternal-pediatric-028","下列新生兒的皮膚評估，何者為異常？",28,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-111-1-maternal-pediatric-072","有關新生兒篩檢的敘述，下列何者錯誤？",72,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-maternal-pediatric-026","張女士，剖腹產後第一天，表示整個腹部疼痛，全身疲憊無力，不想動，也不要親子同室。下列何項護理措施最適當？",26,112,"2026-09-04",1788510725984]