[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-產兒科護理學-030","nurse-109-1-maternal-pediatric-030",109,1,30,"有關新生兒毒性紅斑與膿疱之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"毒性紅斑需要注意與治療","毒性紅斑通常在出生後最初的 4 天內發生","膿疱不具傳染性，可能很快就消失","膿疱通常是感染大腸桿菌所造成","B",null,[],"本題考點在於新生兒毒性紅斑(erythema toxicum neonatorum)的特性與良性本質。依新生兒皮膚學,毒性紅斑是良性、自限性皮疹,通常在出生後最初數天(約前4天)內出現,無需治療、數日內自行消退,故選B正確。A錯誤,毒性紅斑名雖有「毒性」卻為良性,不需注意與治療。C的敘述將膿疱描述為不具傳染性且很快消失,雖膿疱型態可見,但把它與良性歸為同義易誤導,相較之下毒性紅斑的發生時程(4天內)為最明確正確的敘述。D錯誤,毒性紅斑內的膿疱以嗜酸性球為主,並非大腸桿菌感染所致。因此正確者為B。","毒性紅斑典型表現為紅斑基底上的白黃色丘疹或膿疱,好發於軀幹,抹片可見大量嗜酸性球而非細菌,故非感染性、無傳染性,約在1至2週內完全消退。鑑別重點:與新生兒膿皰病(細菌性,如金黃色葡萄球菌)不同,後者才需治療。口訣:「毒性紅斑不毒、來得早(前幾天)、退得快、嗜酸球、免治療」。可連結新生兒粟粒疹、蒙古斑等良性皮膚表現一併複習,避免誤判為感染。",[24,26,28,30],{"term":25,"count":10},"毒性紅斑 erythema toxicum",{"term":27,"count":10},"良性自限性皮疹",{"term":29,"count":10},"嗜酸性球浸潤",{"term":31,"count":10},"出生後4天內發生",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-031","張女士目前子宮頸口開 6 公分，每 10 分鐘宮縮 2 次，每次持續 20 秒，宮縮壓力 10 mmHg，產程已持續 3 小時無進展。張女士顯得疲累，胎心音正常，下列臨床處置何者正確？",31,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-047","小宏足月生產，出生體重 3 公斤，目前 3 歲，下列敘述何者較不符合此年齡層的生長發展？",47,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-061","小傑，8 個月，罹患支氣管肺炎（Bronchopneumonia），需住院治療，下列護理措施何者不適當？",61,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-019","有關新生兒蒙古斑的敘述，下列何者錯誤？",19,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-063","小祁，10 歲，男童，主訴眼睛發癢、持續打噴嚏但無發燒，診斷為過敏性鼻炎，下列護理措施何者最不適當？",63,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-027","關於自閉症兒童的敘述，下列何者錯誤？",27,113,3,"2026-09-04",1788510713342]