[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-111-1-產兒科護理學-005","nurse-111-1-maternal-pediatric-005",111,1,5,"蔡女士，懷孕第 13 週，主訴上週出國到茲卡病毒疫區，她擔心胎兒會受到影響，護理師的回應，下列何者適當？",{"A":14,"B":15,"C":16,"D":17},"解釋胎兒此時腦部已發育完全，病毒造成腦部病變機率低","返家後 2 週內密切觀察是否有紅疹、發燒、關節痛等症狀","建議可立即考慮做羊水茲卡病毒檢驗","立即做傳染性通報，並抽血檢驗病毒","B",null,[],"本題考點在於孕婦赴茲卡病毒疫區後的衛教回應。依茲卡病毒的潛伏與症狀特性,感染後多在返回後約 2 週內可能出現紅疹、發燒、關節痛、結膜炎等症狀,故 B 建議返家後 2 週內密切觀察相關症狀最為適當,為本題答案。A 妊娠第 13 週胎兒腦部仍在快速發育,茲卡病毒正是以造成小頭畸形著稱,「腦部已發育完全、病變機率低」的說法不正確。C 羊水檢驗並非第一時間、也非常規立即建議的作法,需經評估,「立即」用詞不當。D 茲卡並非在此情境下需立即做傳染性通報並抽血的處置,回應過度且不符衛教步驟。","茲卡病毒經斑蚊叮咬與性接觸傳播,孕期感染最大危害是胎兒小頭畸形與腦部發育異常,故妊娠期腦部持續發育階段風險最高。衛教重點:觀察自身症狀、防蚊、暫緩無防護性行為、依醫囑安排追蹤超音波監測胎兒頭圍。多數感染者症狀輕微甚至無症狀,故單靠症狀觀察不足,仍需醫療追蹤,但本題四選項中以 B 的症狀觀察衛教最適當且無誤導。",[24,26,28,30,32],{"term":25,"count":10},"茲卡病毒",{"term":27,"count":10},"胎兒小頭畸形",{"term":29,"count":10},"症狀觀察",{"term":31,"count":10},"孕期感染",{"term":33,"count":10},"衛教回應",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-maternal-pediatric-006","羅女士，因 16 歲的女兒月經遲遲未來，經醫師診斷為透納式症候群（Turner syndrome），有關透納式症候群之敘述，下列何者正確？",6,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-maternal-pediatric-022","有關泌乳機轉的敘述，下列何者正確？",22,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-maternal-pediatric-036","郭先生的精液分析結果如下：精液量約 7 c.c.，精子濃度 800 萬\u002FmL，射精後 42%的精蟲仍具活動力，正常型態的精蟲為 50%。有關其結果之敘述，下列何者正確？",36,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-maternal-pediatric-024","有關逆行性射精之敘述，下列何者錯誤？",24,113,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-2-maternal-pediatric-028","當父母詢問是否該讓兒童施打流行性感冒疫苗時，護理師提供疫苗相關的實證依據以協助父母做為施打意願的參考。這是展現下列那一種護理人員角色功能？",28,114,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-maternal-pediatric-022","有關奶水不足的主要原因，下列何者錯誤？",106,"2026-09-04",1788510735351]