[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-039":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-109-2-產兒科護理學-039","nurse-109-2-maternal-pediatric-039",109,2,39,"林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",{"A":14,"B":15,"C":16,"D":17},"砂眼披衣菌","白色念珠菌","梅毒螺旋體","陰道鞭毛滴蟲","D",null,[],"本題考點為陰道感染的病原鑑別。依症狀學,泡沫狀、黃綠色且有異味的分泌物合併子宮頸草莓狀紅點(strawberry cervix),是陰道鞭毛滴蟲(Trichomonas vaginalis)感染的典型表現,故選 D。考點在於以分泌物性狀與子宮頸外觀辨識病原。A 砂眼披衣菌常無症狀或分泌物稀薄,不呈泡沫黃綠;B 白色念珠菌呈白色凝乳狀、伴強烈搔癢,而非泡沫黃綠;C 梅毒螺旋體以無痛性硬性下疳等病灶表現,不以此類分泌物呈現。唯滴蟲符合全部特徵。","陰道炎鑑別:滴蟲(Trichomonas)—泡沫黃綠、惡臭、外陰搔癢、草莓狀子宮頸,pH>4.5,濕抹片見活動鞭毛蟲體,治療 metronidazole 且性伴侶同治;念珠菌—白色凝乳狀、強癢、pH 正常,KOH 見菌絲;細菌性陰道炎—灰白稀薄、魚腥味、線索細胞、whiff test 陽性。記憶:「泡沫黃綠加草莓子宮頸=滴蟲;凝乳白癢=念珠菌;魚腥灰白=細菌性」。",[24,27,29,31],{"term":25,"count":26},"陰道鞭毛滴蟲感染",1,{"term":28,"count":26},"草莓狀子宮頸",{"term":30,"count":26},"泡沫黃綠分泌物",{"term":32,"count":26},"陰道炎病原鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-040","有關毒性休克症候群之敘述，下列何者正確？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-056","早產兒常出現呼吸暫停現象，下列敘述何者正確？",56,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-070","化學治療期間血液檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 320\u002Fmm 3 ，依據檢查結果，下列護理指導何者較適當？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-maternal-pediatric-028","有關產婦乳腺炎的評估及照護，下列敘述何者錯誤？",28,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-maternal-pediatric-022","有關妊娠糖尿病之敘述，下列何者正確？",22,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-016","陳女士，產後第三天，早上睡覺起來向護理師表示：「我的乳房變硬，摸起來熱熱的，但不會痛。」下列護理措施何者最適當？",16,114,"2026-09-04",1788510717408]