[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-040":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-040","nurse-109-2-maternal-pediatric-040",109,2,40,"有關毒性休克症候群之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"多發生於經期使用衛生棉條的女性","是受到黴漿菌感染所致","臨床症狀少有發燒現象","臨床症狀為單一器官系統異常","A",null,[],"本題考點為毒性休克症候群(TSS)的病因與臨床特徵。依流行病學,TSS 好發於經期使用高吸收力衛生棉條且置放過久的女性,故 A 正確,為本題答案。考點在於辨識致病菌、症狀與侵犯範圍。B 主要致病菌為金黃色葡萄球菌(部分為 A 群鏈球菌)所釋外毒素,而非黴漿菌,敘述錯誤;C 臨床以突發高燒為主要表現,而非少有發燒,敘述錯誤;D TSS 為毒素引發的全身多器官系統受侵犯(如發燒、低血壓、皮疹脫屑、腸胃、肝腎與神經症狀),而非單一器官異常,敘述錯誤。故僅 A 正確。","TSS 由金黃色葡萄球菌外毒素(TSST-1)作為超級抗原大量活化 T 細胞、引發細胞激素風暴,造成高燒、低血壓、瀰漫性紅疹後脫屑(尤其手掌腳掌)與多器官功能異常。危險因子:經期長時間使用高吸收棉條、傷口填塞。預防與衛教:勤換棉條、避免過夜久放、交替使用衛生棉。記憶:「金黃葡萄球菌毒素+久放棉條→高燒低血壓脫屑多器官」。",[24,27,29,31],{"term":25,"count":26},"毒性休克症候群",1,{"term":28,"count":26},"金黃色葡萄球菌外毒素",{"term":30,"count":26},"衛生棉條使用",{"term":32,"count":26},"多器官系統受侵犯",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-041","小畢 3 歲，因為經常出現咬手、打頭、撞牆行為而就醫，醫師診斷有自閉症，護理師指導父母有關自閉症的兒童照護，下列何者錯誤？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-maternal-pediatric-057","小花，8 歲，罹患神經母細胞瘤末期，問護理師他是否快要死掉了，下列敘述何者較適當？",57,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-maternal-pediatric-071","小名，14 歲，因左膝尖銳性疼痛、腫脹入院，醫師診斷為骨肉瘤（osteosarcoma）並進行截肢手術，下列護理措施何者不適當？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-maternal-pediatric-029","正常新生兒出生 4～6 小時內，最主要的能量來源為何？",29,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-maternal-pediatric-023","李女士以oxytocin 進行引產，胎心音出現變異性減速，下列處置何者最適當？",23,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-maternal-pediatric-017","有關新生兒出生後一週內生理性體重減輕的常見原因，下列何者除外？",17,114,"2026-09-04",1788510717412]