[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-110-1-產兒科護理學-059","nurse-110-1-maternal-pediatric-059",110,1,59,"有關川崎氏症（Kawasaki disease）的臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"急性期會出現持續發燒 5 天以上","急性期兩眼結膜充血、草莓樣舌和頸部淋巴結腫大","亞急性期可能出現腕、膝和踝等關節痛的症狀","亞急性期紅血球沉降速率和血小板數值降低","D",null,[],"本題考點是川崎氏症各分期的臨床表徵。考點在於辨識錯誤敘述。依疾病病生理，亞急性期屬全身性血管炎的活躍階段，紅血球沉降速率上升、血小板數值顯著增多（thrombocytosis），而非降低，故「紅血球沉降速率和血小板數值降低」為錯誤，選 D。A 急性期持續高燒 5 天以上，符合診斷準則。B 急性期出現雙側非化膿性結膜充血、草莓舌與頸部淋巴結腫大，符合表徵。C 亞急性期可能出現關節痛，符合病程。故錯誤者為 D。","川崎氏症為兒童全身性中小血管炎，診斷準則：發燒 5 天以上加上五項中四項（雙側結膜充血、口唇草莓舌、四肢末梢變化、多形性皮疹、頸部淋巴結腫大）。分期為急性期、亞急性期（約發病 2 至 4 週，指甲周圍脫皮、血小板增多、冠狀動脈瘤風險最高）與恢復期。發炎指標 ESR、CRP 上升，血小板於亞急性期明顯增多。治療以靜脈注射免疫球蛋白加 aspirin 降低冠狀動脈併發症。記住「亞急性期血小板升、冠狀動脈瘤風險高」即破解本題。",[24,27,29,31],{"term":25,"count":26},"川崎氏症",5,{"term":28,"count":10},"亞急性期",{"term":30,"count":10},"血小板增多",{"term":32,"count":10},"紅血球沉降速率",[34,38,43,48,53,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-060","感染麻疹（measles）在卡他期（catarrhal stage）的病童之 3C 症狀，下列敘述何者不適當？",60,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-076","張小弟，10 歲，診斷為腎病症候群（nephrotic syndrome），目前服用 Prednisolone 治療，下列護理指導何者最適當？",76,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-111-2-maternal-pediatric-010","妊娠 36 週時，腹部四段式觸診觸得胎位是 LOA，則評估胎心音時，超音波胎音器（doppler）應放在何處，會聽得最清楚？",10,111,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-112-2-maternal-pediatric-048","小桃，8 歲，因氣喘發作住院接受治療，主訴：「因為我愛吃冰，然後出去玩沒戴口罩，也沒穿外套，所以就發作了」，下列何者為小桃此階段「疾病概念」發展的特色？",48,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-maternal-pediatric-022","待產婦女於生產過程中發生肩難產（shoulder dystocia）時，下列處置何者為宜？①教導待產婦快速屈曲大腿靠向腹部 ②於子宮底施壓 ③加強子宮收縮藥劑量 ④注意胎心音變化",22,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-maternal-pediatric-016","黃女士，G1P1，產後第一天，向護理師詢問：「我現在沒有奶水，可以餵奶嗎？」下列護理師的回應何者最適宜？",16,115,"2026-09-04",1788510722133]