[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-112-1-產兒科護理學-074","nurse-112-1-maternal-pediatric-074",112,1,74,"姍姍，2 歲 6 個月，因為出現水腫、體重增加而入院，診斷為腎病症候群（Nephrotic Syndrome），有關此疾病的敘述下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"一種因為 A 群 β 型溶血性鏈球菌感染所導致","腎絲球受破壞，導致腎絲球膜通透性增加，常出現有蛋白尿","主要治療以抗生素為主，應指導勿隨意停藥以免產生抗藥性","容易出現有高血壓及嚴重血尿現象","B",null,[],"本題考點為兒童腎病症候群的病生理特徵。正解 B：腎絲球基底膜通透性增加，使大量蛋白質（尤其白蛋白）漏入尿中形成蛋白尿，續而低白蛋白血症、水腫與高血脂。A 錯，A 群鏈球菌感染後導致的是急性腎絲球腎炎而非腎病症候群；C 錯，治療以類固醇為主而非抗生素；D 錯，腎病症候群以水腫與嚴重蛋白尿為主，高血壓與明顯血尿反而是腎炎症候群的表現，故選 B。","腎病症候群四聯徵：大量蛋白尿（>3.5 g\u002F日成人；兒童以體表面積計）、低白蛋白血症、水腫、高血脂。兒童以微小病變型（minimal change）最常見，對類固醇反應佳。對比腎炎症候群（如 PSGN）：以血尿、高血壓、少尿、輕度蛋白尿為主。記憶：腎病＝蛋白漏光光（水腫）、腎炎＝血尿高血壓。",[24,27,29,31],{"term":25,"count":26},"腎病症候群",5,{"term":28,"count":10},"腎絲球通透性增加",{"term":30,"count":10},"大量蛋白尿",{"term":32,"count":10},"與腎炎症候群鑑別",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-1-maternal-pediatric-075","小強，14 歲，因慢性腎衰竭進行腹膜透析治療中，有關護理指導的敘述，下列何者較不適當？",75,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-011","李女士剖腹產前將進行腰椎硬膜外麻醉，下列措施何者不適當？",11,3,{"webId":44,"stem":45,"number":26,"year":46,"session":47},"nurse-113-2-maternal-pediatric-005","懷孕 24 週婦女，表達她很想感受「與胎兒連為一體的情感」，下列護理指導，何者最適當？",113,2,{"webId":49,"stem":50,"number":42,"year":51,"session":42},"nurse-114-3-maternal-pediatric-003","李女士，懷孕 28 週，主訴有腿部抽筋和背痛的症狀，護理師評估後，發現她僅攝取少量的乳製品，且很少吃綠葉蔬菜。根據她的情況，鈣質攝取不足最可能導致下列那一種健康問題？",114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-057","有關出血性登革熱（dengue hemorrhagic fever）敘述，下列護理措施何者錯誤？",57,106,{"webId":58,"stem":59,"number":41,"year":60,"session":47},"nurse-107-2-maternal-pediatric-011","有關妊娠期婦女甲狀腺分泌功能變化的敘述，下列何者正確？",107,"2026-09-04",1788510743084]