[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-037":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-037","nurse-109-1-maternal-pediatric-037",109,1,37,"有關陰道感染的護理措施，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"念珠菌陰道炎治療需停用口服避孕藥、抗生素與類固醇","滴蟲陰道炎治療期間完全禁止性行為","披衣菌陰道炎患者的性伴侶不需特別治療","依醫囑給予披衣菌陰道炎患者 Gentamycin 抗生素治療","A",null,[],"本題考點在於各類陰道感染的護理與治療原則。依微生物與藥理,念珠菌陰道炎好發於使用口服避孕藥、廣效抗生素或類固醇、糖尿病等造成菌叢失衡或免疫下降者,故治療與衛教上需檢視並在可行時停用這些誘因藥物,A敘述正確為正解。B錯誤,滴蟲陰道炎治療期間應避免無保護性行為並伴侶同治,而非以「完全禁止」為原則的絕對表述。C錯誤,披衣菌為性傳染病,性伴侶必須一併治療以免反覆感染。D錯誤,披衣菌感染治療用藥為doxycycline或azithromycin等,並非Gentamycin。因此正確者為A。","三大陰道感染快速辨析:念珠菌(白色乳酪狀分泌物、搔癢、pH正常,用抗黴菌如nystatin\u002Ffluconazole,並移除誘因);滴蟲(黃綠泡沫狀、草莓子宮頸,用metronidazole且伴侶同治);細菌性陰道炎(魚腥味、pH>4.5、線索細胞,用metronidazole)。披衣菌屬性病,首選azithromycin單劑或doxycycline且伴侶同治。記憶要點:「性病一定伴侶同治」。Gentamycin為胺基醣苷類主要對付格蘭氏陰性菌,並非披衣菌用藥。可連結性傳染病防治概念延伸。",[24,26,28,30],{"term":25,"count":10},"念珠菌陰道炎誘因",{"term":27,"count":10},"口服避孕藥抗生素類固醇",{"term":29,"count":10},"披衣菌伴侶同治",{"term":31,"count":10},"陰道感染用藥辨析",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-038","有關子宮內膜癌之敘述，下列何者正確？",38,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-054","小莉被診斷為血小板無力症（thrombasthenia），此次入院進行首次輸血小板治療，她表示現在最害怕受到懲罰，她的發展最可能屬於下列何階段？",54,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-068","小凌，16 歲，罹患再生不良性貧血，住院接受抗淋巴球蛋白（ALG）及 cyclosporin 治療，下列護理措施何者較適當？",68,110,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-111-2-maternal-pediatric-026","齊女士，月經週期規律，擬以安全期法避孕，下列護理師的指導何者正確？",26,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-maternal-pediatric-070","初診斷為急性淋巴性白血病童有發生腫瘤溶解症候群（Tumor Lysis Syndrome）之危機，下列敘述何者錯誤？",70,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-034","楊小妹，妊娠週數 31 週，出生體重 1,628 公克，有關楊小妹出生後的生理特徵，下列敘述何者錯誤？",34,113,3,"2026-09-04",1788510713429]