[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-033","nurse-111-1-maternal-pediatric-033",111,1,33,"有關孕婦接受 B 群（乙型）鏈球菌篩檢之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"以避免垂直感染新生兒","建議孕婦在懷孕 35～37 週間進行篩檢","陽性者，在分娩前 4 小時給予抗生素","陽性者，建議採取剖腹產","D",null,[],"本題考點為孕婦B群鏈球菌(GBS)篩檢與處置。GBS篩檢目的在預防產程中垂直感染新生兒(可致新生兒敗血症、腦膜炎),A正確;建議於懷孕35-37週採陰道及肛門拭子篩檢,B正確;陽性者於待產時、分娩前給予靜脈注射抗生素(如penicillin),使產程中維持足夠殺菌濃度,C正確。關鍵在D:GBS陽性並非剖腹產適應症,處置為產時抗生素預防而非改採剖腹產,故D敘述錯誤為答案。","GBS是新生兒早發型敗血症的重要病原,策略核心是「產時抗生素預防(IAP)」:陽性孕婦破水或待產後靜脈注射抗生素,理想在分娩前至少4小時開始以達保護濃度。剖腹產不但無法取代抗生素,還徒增手術風險。記憶:35-37週篩、產時打抗生素、不是開刀。",[24,26,28,30],{"term":25,"count":10},"B群鏈球菌 GBS",{"term":27,"count":10},"垂直感染預防",{"term":29,"count":10},"產時抗生素",{"term":31,"count":10},"35-37週篩檢",[33,37,42,47,51,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-maternal-pediatric-034","有關子宮內膜癌之敘述，下列何者錯誤？",34,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-maternal-pediatric-050","小明，4 歲半，入院須接受疝氣手術治療，下列那項護理措施較不適當？",50,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-064","母親懷孕早期感染下列何種疾病，易導致新生兒罹患先天性心臟病？",64,112,{"webId":48,"stem":49,"number":41,"year":50,"session":41},"nurse-113-2-maternal-pediatric-002","孫女士於產檢時，詢問葉酸補充注意事項，下列何者為最適當的護理指導？",113,{"webId":52,"stem":53,"number":54,"year":55,"session":56},"nurse-114-3-maternal-pediatric-006","有關無壓力試驗（NST），下列敘述何者正確？①觀察胎兒心跳型態的變化 ②至少要記錄 60 分鐘 ③建議第三孕期檢測 ④胎心率加速表示有缺氧情形",6,114,3,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-maternal-pediatric-050","小強，15 個月大，被診斷有輕微的腦性麻痺（cerebral palsy）。小強爸爸是個食品公司全職行銷人員，媽媽則在電腦公司上班，家中有請外傭照顧小強，外傭每週一次帶小強去醫院做復健，下列何者為主要的護理措施？",106,"2026-09-04",1788510735608]