[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-111-2-產兒科護理學-063","nurse-111-2-maternal-pediatric-063",111,2,63,"關於兒童罹患黴漿菌性肺炎（mycoplasma pneumonia）照護措施之敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"告知家屬該肺炎的傳染性低，不用擔心會有家人間的傳染","提醒家屬注意兒童常會出現高燒、痰液量多及胸肋膜疼痛的症狀","指導家屬由於黴漿菌喜侵犯肺泡及細支氣管，故病程進展是突發且快速","跟家屬說明以 Azithromycin 治療，療程短且副作用較少","D",null,[],"本題考點為兒童黴漿菌肺炎的照護,答案選最適當者。考點在於治療用藥的選擇。黴漿菌無細胞壁,對抑制細胞壁合成的抗生素(如青黴素)無效,首選巨環類抗生素如 Azithromycin,療程短且副作用相對少,故 D 正確。A 錯在傳染性,黴漿菌經飛沫傳播且具傳染性,常在家庭與群聚間散播,不可告知「傳染性低不用擔心」;B 錯在症狀描述,黴漿菌肺炎多為乾咳、痰量少的非典型肺炎,而非高燒痰多;C 錯在病程,黴漿菌肺炎多為漸進性、症狀相對輕的非典型肺炎,並非突發快速。故最適當者為 D。","黴漿菌肺炎屬「非典型肺炎」,好發於學齡兒童與青少年,臨床以持續乾咳、發燒、倦怠為主,胸部 X 光變化常大於聽診發現(症狀輕、影像重)。因無細胞壁,治療用巨環類(azithromycin、erythromycin)或四環黴素類,β-lactam 無效。經飛沫傳播,潛伏期較長、群聚易散播。記憶:黴漿菌「無壁、乾咳、用巨環」。",[24,27,30,33],{"term":25,"count":26},"黴漿菌肺炎",6,{"term":28,"count":29},"非典型肺炎",3,{"term":31,"count":32},"Azithromycin",1,{"term":34,"count":32},"飛沫傳播",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-maternal-pediatric-064","小真，6 個月大，體重 7 公斤，剛接受完開心手術入住心臟外科加護病房，有關腎臟衰竭之臨床表徵，下列何者錯誤？",64,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-maternal-pediatric-080","李小妹，診斷為痙攣型腦性麻痺（spastic type of cerebral palsy），有關其臨床表徵，下列敘述何者正確？",80,112,{"webId":46,"stem":47,"number":48,"year":44,"session":29},"nurse-112-3-maternal-pediatric-014","婦女初次嘗試親餵母乳，向護理師表示：「我的乳頭是平的，還能親餵嗎？」，下列何項護理指導內容最適當？",14,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-114-1-maternal-pediatric-012","有關鼓勵孕產家庭與家中新成員－新生兒的依附關係的建立，下列敘述何者錯誤？",12,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-115-2-maternal-pediatric-016","陳女士，G 3 P 1 SA 2 ，採陰道分娩，會陰 4 度裂傷，出院前詢問：「何時可以恢復性生活？」，下列護理指導何者最適當？",16,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-maternal-pediatric-080","雷氏症候群（Reye’s syndrome）早期病變的主要徵象為何？",106,"2026-09-04",1788510739560]