[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-2-產兒科護理學-067","nurse-107-2-maternal-pediatric-067",107,2,67,"有關德國麻疹（German measles）的護理指導及處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"體溫及症狀變化於年紀愈小兒童愈明顯","粉紅色斑丘疹通常由四肢開始出現","出疹後即不需採接觸防護隔離","第一孕期婦女應與德國麻疹隔離","D",null,[],"本題考點在於德國麻疹(rubella)對孕婦的致畸風險與傳染特性。德國麻疹病毒經胎盤可導致先天性德國麻疹症候群(白內障、心臟缺損、耳聾),第一孕期危害最大,故孕婦應與德國麻疹病人隔離,選 D。A 錯,德國麻疹症狀通常隨年紀愈小愈輕微,而非愈明顯。B 錯,粉紅色斑丘疹由臉、頭頸部開始向軀幹四肢蔓延,非由四肢開始。C 錯,出疹後仍具傳染力(約出疹後 5~7 天),仍需採接觸\u002F飛沫防護。","先天性德國麻疹症候群(CRS)三大典型為感覺神經性耳聾、白內障、動脈導管開放\u002F肺動脈狹窄等心臟缺損,愈早孕期感染畸形率愈高。德國麻疹屬飛沫傳染,MMR 疫苗為活性減毒疫苗,故孕婦禁打、接種後建議避孕一段時間。對比麻疹(measles)由髮際往下擴散、症狀較重,可一併記憶。",[24,27,30,32],{"term":25,"count":26},"先天性德國麻疹症候群",4,{"term":28,"count":29},"德國麻疹(rubella)",1,{"term":31,"count":29},"第一孕期致畸",{"term":33,"count":29},"MMR 疫苗禁忌",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-068","有關嬰兒玫瑰疹（roseola infantum），下列何者錯誤？",68,{"webId":40,"stem":41,"number":26,"year":42,"session":10},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",108,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-109-1-maternal-pediatric-018","有關 WHO 的成功母乳哺育十措施中母嬰肌膚接觸之敘述，下列何者錯誤？",18,109,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-110-1-maternal-pediatric-056","早產兒常出現呼吸暫停現象，下列敘述何者正確？",56,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-maternal-pediatric-020","產後第二天純母乳哺餵的母親詢問：「我的寶寶兩餐之間是否需要餵開水？」下列護理指導何者最適當？",20,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-maternal-pediatric-054","小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",54,112,"2026-09-04",1788510726312]