[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-070":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-108-2-產兒科護理學-070","nurse-108-2-maternal-pediatric-070",108,2,70,"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？",{"A":14,"B":15,"C":16,"D":17},"好發於 1～3 歲兒童","使用藥物為 erythromycin 或 azithromycin","傳染途徑主要為接觸傳染，應加強洗手","主要由腺病毒引起，導致黏膜水腫","B",null,[],"本題考點為黴漿菌肺炎（mycoplasma pneumonia）的好發族群、藥物與傳染途徑。依微生物學，黴漿菌無細胞壁，故對抑制細胞壁合成的盤尼西林類無效，須用巨環類抗生素 erythromycin 或 azithromycin，B 正確。A 錯：好發於學齡期兒童與青少年（約 5 歲以上），非 1～3 歲。C 錯：主要經飛沫傳染而非接觸傳染。D 錯：致病原是肺炎黴漿菌，並非腺病毒，故正解為 B。","黴漿菌肺炎又稱「非典型肺炎／walking pneumonia」，因症狀相對輕、病童仍可活動而得名，X 光常見瀰漫性間質浸潤與臨床聽診不成比例。無細胞壁的特性決定了治療須避開 β-lactam、改用巨環類（macrolide）或年長兒可用四環黴素。記憶法：「黴漿菌沒牆，青黴素沒用，改吃紅黴素」。傳染以飛沫為主，好發學齡群聚環境（學校），潛伏期長、可群聚流行。",[24,27,30,33],{"term":25,"count":26},"黴漿菌肺炎",6,{"term":28,"count":29},"巨環類抗生素",4,{"term":31,"count":32},"飛沫傳染",3,{"term":34,"count":10},"無細胞壁",[36,40,45,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-071","疼痛控制為照護兒癌病童之一大挑戰，有關疼痛的評估及處置，下列敘述何者正確？",71,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-2-maternal-pediatric-007","懷孕 28 週婦女參加產前媽媽教室，練習母乳哺餵姿勢和嬰兒沐浴，此為下列何種母性認同行為之表現？",7,109,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-110-1-maternal-pediatric-021","下列何者為更年期女性的生理變化？①濾泡刺激素大量增加 ②雌性素分泌增加 ③低密度脂蛋白增加 ④陰道 pH 值下降",21,110,1,{"webId":52,"stem":53,"number":54,"year":55,"session":50},"nurse-111-1-maternal-pediatric-059","有關川崎氏症的護理指導，下列敘述何者不適當？",59,111,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-112-2-maternal-pediatric-023","有關初乳的敘述，下列何者不適當？",23,112,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-113-2-maternal-pediatric-037","有關日本腦炎的症狀與處置，下列敘述何者錯誤？",37,113,"2026-09-04",1788510707387]