[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-051":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-109-1-產兒科護理學-051","nurse-109-1-maternal-pediatric-051",109,1,51,"下列何者是幼兒泌尿道感染常見的致病菌？",{"A":14,"B":15,"C":16,"D":17},"變形桿菌屬（Proteus spp.）","腸球菌（Enterococcus）","克雷白氏桿菌屬（Klebsiella spp.）","大腸桿菌（E. coli）","D",null,[],"本題考點在於幼兒泌尿道感染的最常見致病菌。依微生物流行病學,泌尿道感染最常見的病原是來自腸道正常菌叢的大腸桿菌(E. coli),因會陰與尿道口鄰近肛門,大腸桿菌經上行途徑進入泌尿道引起感染,約占社區泌尿道感染的大多數,故選D。A變形桿菌屬(Proteus)雖與泌尿道感染及結石有關,但盛行率不及大腸桿菌。B腸球菌與C克雷白氏桿菌屬亦為泌尿道感染可能病原,但均非最常見者。因此幼兒泌尿道感染最常見致病菌為D大腸桿菌。","泌尿道感染以格蘭氏陰性腸道菌為主,首位為大腸桿菌,其上行感染與解剖因素有關:女嬰尿道短、會陰近肛門更易感染。幼兒泌尿道感染表現常不典型(發燒、食慾差、嘔吐、生長遲滯),須留意有無膀胱輸尿管逆流等結構異常。護理衛教方向為由前往後擦拭、多喝水、勿憋尿。記憶口訣「泌尿道感染,大腸桿菌當家(E. coli第一)」。Proteus常伴鹼性尿與磷酸銨鎂結石,可作辨析。可連結尿液採檢與抗生素選擇概念一併複習。",[24,27,29,31],{"term":25,"count":26},"泌尿道感染",4,{"term":28,"count":26},"上行性感染",{"term":30,"count":10},"大腸桿菌 E. coli",{"term":32,"count":10},"格蘭氏陰性腸道菌",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-052","丁丁，2 歲，診斷為水腦，並接受腦室－腹膜分流術（V-P shunt），現已術後第 5 天，今早丁丁哭鬧不喝奶，測得體溫達 38.2℃、血壓為 100\u002F60 mmHg，有關護理評估，下列何者需優先執行？",52,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-maternal-pediatric-068","9 歲的小君，診斷白血病（leukemia），目前接受化學治療，其血液檢驗數值嗜中性白血球計數為 800\u002Fmm 3 ，有關護理措施，下列敘述何者不適當？",68,2,{"webId":44,"stem":45,"number":42,"year":46,"session":42},"nurse-110-2-maternal-pediatric-002","有關嬰兒正確含乳的注意事項，下列護理指導何者正確？",110,{"webId":48,"stem":49,"number":50,"year":51,"session":42},"nurse-111-2-maternal-pediatric-040","有關乳癌的護理措施，下列何者正確？",40,111,{"webId":53,"stem":54,"number":26,"year":55,"session":56},"nurse-112-3-maternal-pediatric-004","王女士主訴：「我懷孕後都不吃冰了，因擔心對孩子氣管不好」，下列護理師反應何者最適當？",112,3,{"webId":58,"stem":59,"number":60,"year":61,"session":56},"nurse-113-3-maternal-pediatric-048","7 歲的奇奇罹患腦性麻痺，因基底核和錐體外病變，產生不自主運動，且出現無法控制四肢抖動，尤其影響手部的書寫功能，有關奇奇罹患之腦性麻痺的型態，下列何者正確？",48,113,"2026-09-04",1788510713598]