[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-060":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-110-2-產兒科護理學-060","nurse-110-2-maternal-pediatric-060",110,2,60,"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？",{"A":14,"B":15,"C":16,"D":17},"嗜睡、意識不清、活力不佳、手腳無力","無故驚嚇或突然間全身肌肉收縮","呼吸急促或心跳加快","腸骨疼痛","D",null,[],"本題考點是腸病毒重症前兆症狀的辨識。考點在於腸病毒感染後5天內須密切觀察是否出現侵犯中樞神經與心肺功能的重症徵象，一旦出現須儘速就醫。三個重症前兆為:嗜睡、意識不清、活力不佳、肢體無力(神經侵犯)；無故驚嚇或肌抽躍—突然全身肌肉收縮(myoclonic jerk)；呼吸急促或心跳加快(心肺衰竭前兆)。故A、B、C皆為須警覺的重症徵象。選項D「腸骨疼痛」與腸病毒重症的神經、心肺併發機轉無關，並非重症前兆，為題目所問的「除外」答案。故選D。","腸病毒(尤其EV71)重症進程可迅速惡化:腦幹腦炎→自律神經失調→神經性肺水腫→心肺衰竭。四大重症前兆記憶:嗜睡活力差、持續嘔吐、肌抽躍(睡眠中無故驚嚇抽動)、呼吸心跳加快。肌抽躍是腦幹受侵犯的重要早期警訊。可連結:手足口病與疱疹性咽峽炎為常見表現;預防以勤洗手、環境消毒(酒精對腸病毒效果有限，須含氯漂白水)。腸骨疼痛屬骨骼肌肉範疇，非本病重症指標。",[24,27,29,31],{"term":25,"count":26},"腸病毒重症前兆",1,{"term":28,"count":26},"肌抽躍",{"term":30,"count":26},"神經性肺水腫",{"term":32,"count":26},"EV71",[34,38,43,48,53,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-maternal-pediatric-061","有關氣喘病童使用吸入型氣喘藥物，下列敘述何者錯誤？",61,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-111-1-maternal-pediatric-077","妙妙，5 個月大，因發展性髖關節發育不良（developmental dysplasia of the hip）入院，進行髖部人字形石膏固定，有關石膏固定之出院護理，下列敘述何者不適當？",77,111,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-112-1-maternal-pediatric-011","張女士，G 2 P 1 ，懷孕 40 週，子宮頸口擴張 8 公分，變薄 90%，如果出現宮縮強且胎頭迅速下降想用力，下列護理措施何者較不恰當？",11,112,{"webId":49,"stem":50,"number":51,"year":47,"session":52},"nurse-112-3-maternal-pediatric-049","有關兒童顱內壓增高的臨床表徵及處置，下列敘述何者錯誤？",49,3,{"webId":54,"stem":55,"number":52,"year":56,"session":10},"nurse-114-2-maternal-pediatric-003","下列何者是胎兒第一個有功能的器官？",114,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-115-2-maternal-pediatric-047","小志，6 個月，男嬰，半夜突然大哭，雙腳屈膝、臉色蒼白、嘔吐物中含膽汁，數分鐘後緩解，20 分鐘後又再次出現上述症狀。檢查尿布，發現大便中含血與黏膜。根據上述症狀，小志可能有什麼健康問題？",47,115,"2026-09-04",1788510730177]