[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-108-1-產兒科護理學-063","nurse-108-1-maternal-pediatric-063",108,1,63,"有關新生兒罹患先天性梅毒的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"出現病理性骨折，稱為溫伯格式（Wimberger’s）徵象","背部、臀部皮膚出現圓形丘疹的病灶，具傳染力","肝脾腫大、有明顯黃疸，貧血及紅血球母細胞數量增多","早期症狀會造成軍刀狀脛骨及痙攣性麻痺","D",null,[],"本題考點在先天性梅毒的臨床分期，須選出錯誤敘述。軍刀狀脛骨與神經性麻痺屬晚期先天性梅毒（2 歲以後）的表現，非早期症狀，故選項 D 敘述錯誤，即為答案。選項 A 正確，長骨幹骺端病理性骨折稱溫伯格式（Wimberger）徵象，為早期骨骼變化。選項 B 正確，皮膚出現圓形丘疹病灶且含大量螺旋體，具高度傳染力。選項 C 正確，早期先天性梅毒常見肝脾腫大、黃疸、貧血與紅血球母細胞增多（髓外造血）。","先天性梅毒分早期（\u003C2 歲）與晚期（>2 歲）。早期以多系統感染表現：肝脾腫大、皮疹、鼻炎（snuffles）、骨軟骨炎、Wimberger 徵象。晚期為慢性發炎後遺症，經典「Hutchinson 三徵」——楔形門齒、間質性角膜炎、第八對腦神經性耳聾，加上軍刀狀脛骨、桑葚狀臼齒與馬鞍鼻。記憶關鍵：分期看年齡，晚期屬瘢痕後遺。可連結概念：垂直感染、VDRL\u002FRPR 篩檢、penicillin 治療。",[24,27,29,31],{"term":25,"count":26},"先天性梅毒",3,{"term":28,"count":10},"早期與晚期分期",{"term":30,"count":10},"Wimberger 徵象",{"term":32,"count":10},"軍刀狀脛骨",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-064","有關新生兒生產過程造成的鎖骨骨折，下列護理措施何者錯誤？",64,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-maternal-pediatric-080","有關腰椎穿刺之敘述，下列何者錯誤？",80,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-109-2-maternal-pediatric-014","承上題，廖女士的子宮收縮逐漸增強，陣痛越來越密且痛的持續時間較久，胎膜在此時破裂，護理師立即扶她上床，躺下後最優先執行的措施為：",14,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-maternal-pediatric-052","餵食母乳之新生兒，可由母乳得到何種抗體，協助其對抗水痘、單純性疱疹與流行性感冒？",52,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-016","第一產程活動期的待產婦，每 3 分鐘宮縮 1 次，每次持續 45 秒，個案在宮縮的休息期，胎心率為 90 bpm，下列何項護理措施較適當？",16,112,{"webId":59,"stem":60,"number":61,"year":57,"session":26},"nurse-112-3-maternal-pediatric-050","有關罹患無菌性腦膜炎（aseptic meningitis）病童之腦脊髓液，下列敘述何者正確？",50,"2026-09-04",1788510710748]