[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-068":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-112-1-產兒科護理學-068","nurse-112-1-maternal-pediatric-068",112,1,68,"小華，3 歲，在一週前發燒後身上突然出現多處紫斑，經醫師診斷為特發性血小板（Idiopathic Thrombocytopenic Purpura, ITP），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"這是一種自體免疫的障礙","使用類固醇治療","指導家屬禁止使用阿斯匹靈藥物（Aspirin）","建議 3 歲前施行脾臟切除手術","D",null,[],"本題考點為兒童特發性血小板減少性紫斑症（ITP）的病因與處置。ITP 屬自體免疫破壞血小板（A 正確），常於病毒感染後發生；治療可用類固醇抑制免疫（B 正確）；因血小板低下且阿斯匹靈會抑制血小板功能，故禁用 Aspirin（C 正確）。錯誤敘述為 D：兒童 ITP 多為自限性、預後良好，脾臟切除僅保留給慢性難治型，且幼兒脾切除會增加感染風險，並不建議 3 歲前手術，故選 D。","ITP 因產生抗血小板抗體，使血小板在脾臟被破壞。兒童急性型常於病毒感染後 1～3 週出現瘀點瘀斑，多數數週至數月自癒。治療階梯：觀察、類固醇、IVIG、抗-D，脾切除屬慢性難治的最後選項。護理重點：避免碰撞外傷、禁 Aspirin 與非類固醇抗發炎藥、監測出血徵象。幼兒脾切除增加莢膜菌敗血症風險。",[24,26,28,30],{"term":25,"count":10},"特發性血小板減少性紫斑症 ITP",{"term":27,"count":10},"自體免疫破壞血小板",{"term":29,"count":10},"類固醇治療",{"term":31,"count":10},"脾切除適應症",[33,37,42,47,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-069","小勇，10 歲，罹患急性淋巴性白血病，目前接受化學治療中，有關其護理措施之敘述，下列何者錯誤？",69,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-maternal-pediatric-005","有關羊膜穿刺術（amniocentesis）的檢查時機及情況，下列敘述何者正確？",5,3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-049","小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",49,113,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-114-2-maternal-pediatric-047","關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",47,114,2,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-maternal-pediatric-051","小維，足月兒，體重 2,800 公克。出生後的第 3 天，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 16 mg\u002FdL，醫囑照光治療，下列何者是最重要的護理目標？",51,106,{"webId":59,"stem":60,"number":40,"year":61,"session":52},"nurse-107-2-maternal-pediatric-005","有關雌性素（estrogen）對懷孕早期生殖系統所造成的變化，下列何者錯誤？",107,"2026-09-04",1788510743040]