[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-039":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-111-2-產兒科護理學-039","nurse-111-2-maternal-pediatric-039",111,2,39,"劉女士，28 歲，因外陰部搔癢、排尿時有灼熱感並有濃稠白色的陰道分泌物，內診時可見陰道壁有乳酪狀白色附著物，最有可能是下列何種病原感染？",{"A":14,"B":15,"C":16,"D":17},"砂眼披衣菌","白色念珠球菌","梅毒螺旋體","陰道鞭毛滴蟲","B",null,[],"本題考點為陰道感染的病原鑑別。考點在於乳酪狀白色分泌物與外陰搔癢的典型表現。依婦科感染學,外陰搔癢、排尿灼熱伴濃稠白色乳酪(凝乳)狀分泌物、陰道壁白色附著物,是白色念珠菌(Candida albicans)感染的典型特徵,故選 B。A 砂眼披衣菌感染多無明顯分泌物或呈黏液膿性,常無症狀;C 梅毒螺旋體以無痛性硬性下疳為初期表現,非陰道乳酪狀分泌物;D 陰道鞭毛滴蟲則呈黃綠色、泡沫狀且有惡臭的分泌物。乳酪狀白色附著物對應念珠菌,故正解為 B。","念珠菌為念珠球菌屬酵母菌,好發於糖尿病、抗生素使用、懷孕或免疫低下者,因陰道菌叢失衡而過度增生。分泌物性狀是快速鑑別關鍵:念珠菌=白色乳酪狀、滴蟲=黃綠泡沫惡臭、細菌性陰道炎=灰白稀薄魚腥味。記憶:白起司想念珠菌,綠泡沫想滴蟲。",[24,27,29,31],{"term":25,"count":26},"白色念珠菌",1,{"term":28,"count":26},"陰道分泌物性狀",{"term":30,"count":26},"外陰搔癢",{"term":32,"count":26},"陰道感染鑑別",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-040","有關乳癌的護理措施，下列何者正確？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-056","有關提供慢性病兒童家庭之持續性及全面性照護的護理措施，下列敘述何者較不適當？",56,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-070","初診斷為急性淋巴性白血病童有發生腫瘤溶解症候群（Tumor Lysis Syndrome）之危機，下列敘述何者錯誤？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-038","有關病童接受氧氣治療的照護措施，下列敘述何者最適當？",38,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-maternal-pediatric-042","小明，16 歲，因為走路跛行住院檢查，今確立診斷為骨肉瘤（osteosarcoma），下列敘述何者錯誤？",42,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-056","鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",106,"2026-09-04",1788510739324]