[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-059":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-110-2-產兒科護理學-059","nurse-110-2-maternal-pediatric-059",110,2,59,"有關麻疹與德國麻疹的臨床表徵之比較，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"麻疹會在口腔出現科氏斑點（Kopliks’ spots）","德國麻疹在紅疹消退後留下棕色色素沉著","德國麻疹會出現咳嗽、結膜炎、鼻炎的症狀","麻疹的疹子出現在淋巴腺腫大之後","A",null,[],"本題考點是麻疹與德國麻疹的臨床表徵鑑別。考點在於辨識麻疹的病理特徵—科氏斑點(Koplik's spots)，即出疹前1–2天在頰黏膜出現、周圍紅暈的白色小點，是麻疹早期的特異性表徵，故選項A正確為答案。B德國麻疹疹退後不會留下棕色色素沉著，反而是麻疹退疹後可留下棕褐色脫屑，敘述張冠李戴，錯誤；C咳嗽、結膜炎、鼻炎(3C:cough、coryza、conjunctivitis)是麻疹的前驅症狀，非德國麻疹，錯誤；D疹子出現在淋巴腺(耳後、枕後)腫大之後是德國麻疹的特徵，非麻疹，錯誤。故唯A正確。","麻疹三前驅特徵記憶3C:cough、coryza、conjunctivitis，加上發燒與Koplik斑;皮疹自髮際、耳後向下蔓延，退疹留色素與脫屑。德國麻疹(風疹)特徵:耳後與枕後淋巴結腫大先於出疹，疹子較淡、消退快不留痕，全身症狀輕。臨床意義:德國麻疹對孕婦最大威脅是先天性德國麻疹症候群(白內障、心臟缺損、耳聾)。可連結:兩者皆屬MMR疫苗預防範疇，均為飛沫傳染。",[24,26,29,31],{"term":25,"count":10},"科氏斑點",{"term":27,"count":28},"麻疹3C",1,{"term":30,"count":28},"德國麻疹淋巴結腫大",{"term":32,"count":28},"出疹型態鑑別",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-060","幼兒感染腸病毒後的 5 天內，需要密切注意腸病毒的嚴重合併症狀，下列選項何者除外？",60,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-maternal-pediatric-076","小華，5 歲，罹患腎病症候群（nephrotic syndrome），全身出現水腫。為預防因水腫可能產生的皮膚完整性受損，下列護理指導何者不適當？",76,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-maternal-pediatric-010","有關衛生福利部國民健康署對婦女妊娠期體重增加之建議，下列敘述何者正確？",10,112,{"webId":49,"stem":50,"number":51,"year":47,"session":52},"nurse-112-3-maternal-pediatric-048","有關發展性髖關節發育不良之護理措施，下列敘述何者錯誤？",48,3,{"webId":54,"stem":55,"number":10,"year":56,"session":10},"nurse-114-2-maternal-pediatric-002","下列何者為懷孕的確實徵候？",114,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-2-maternal-pediatric-046","小金，5 個月大，罹患甲狀腺功能低下症，目前接受 L-thyroxine 治療，有關小金的居家照護，下列敘述何者錯誤？",46,115,"2026-09-04",1788510730172]