[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-027":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":10},"nurse-109-2-產兒科護理學-027","nurse-109-2-maternal-pediatric-027",109,2,27,"有關新生兒身體評估結果，下列何者異常？",{"A":14,"B":15,"C":16,"D":17},"出生時，鼻頭有粟粒疹","出生 1～3 天左右，身體表面出現毒性紅斑","頭圍 35 公分","舌頭上有凝乳塊狀的白色斑點","D",null,[],"本題考點為新生兒常見生理現象與異常的鑑別。依口腔評估,舌頭上呈凝乳塊狀且不易拭去的白色斑點為鵝口瘡(口腔念珠菌感染)的表現,屬異常,故選 D。考點在於區辨正常變異與需處置的異常。A 鼻頭粟粒疹(milia)為皮脂腺阻塞形成的小白點,數週內自然消退,屬正常;B 出生後 1～3 天出現的毒性紅斑(erythema toxicum)為良性自限性皮疹,屬正常;C 足月新生兒頭圍約 33～35 公分,35 公分在正常範圍內。唯鵝口瘡是黴菌感染,需抗黴菌治療,故為異常之選。","鵝口瘡由白色念珠菌感染口腔黏膜,呈附著性凝乳狀白斑,強行剝除底部易滲血出血,可與奶垢區別(奶垢易拭去)。多因產道感染或免疫未成熟,治療用局部抗黴菌藥(如 nystatin)。對比正常變異:粟粒疹、毒性紅斑、蒙古斑、新生兒紅斑皆自限。記憶:「奶垢擦得掉,鵝口擦不掉還會流血」。",[24,26,29,31],{"term":25,"count":10},"毒性紅斑",{"term":27,"count":28},"鵝口瘡口腔念珠菌感染",1,{"term":30,"count":28},"粟粒疹 milia",{"term":32,"count":28},"新生兒頭圍正常值",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-028","有關足月新生兒身體成熟度評估，下列特徵何者錯誤？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-110-1-maternal-pediatric-044","小玉，3 歲，體重 15 公斤，誤食外婆包粽子用的鹼水，就醫時意識清楚，下列處置何者最適當？",44,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-058","新生兒經母子垂直感染後天免疫缺乏症候群（AIDS），有關護理措施之敘述，下列何者錯誤？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"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":53,"stem":54,"number":55,"year":56,"session":28},"nurse-113-1-maternal-pediatric-010","胎兒為頭產式，胎頭呈部分屈曲，其最可能以下列那條徑線通過產道？",10,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-004","懷孕 10 週婦女，以超音波評估胎兒大小，下列測量部位何者最適當？",4,114,"2026-09-04",1788510717284]