[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-1-產兒科護理學-078","nurse-112-1-maternal-pediatric-078",112,1,78,"有關雷氏症候群（Reye’s syndrome）的臨床表徵，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"肝臟酵素-胺基轉胺酶（AST、ALT）皆升高","高血糖","腦水腫","凝血酶原時間（PT）及部分凝血酶原時間（PTT）延長","B",null,[],"本題考點為雷氏症候群（Reye's syndrome）的臨床與檢驗表徵。此症以急性腦病變合併肝臟脂肪浸潤為特徵，肝臟酵素 AST、ALT 升高（A 正確）、腦水腫致顱內壓上升（C 正確）、肝功能受損使凝血因子合成不足致 PT、PTT 延長（D 正確）。錯誤敘述為 B：雷氏症候群因肝醣代謝與糖質新生受損，典型表現為「低血糖」而非高血糖，故選 B。此為挑錯的反向題。","雷氏症候群常見於病毒感染（如流感、水痘）後使用阿斯匹靈的兒童，故兒童發燒禁用 Aspirin。病生理為粒線體功能障礙致肝脂肪變性與高血氨，臨床出現嘔吐、意識改變、抽搐；檢驗見肝酵素↑、血氨↑、低血糖、PT\u002FPTT 延長。記憶：發燒兒童忌阿斯匹靈；表徵＝肝＋腦＋低血糖＋高血氨。",[24,27,30,32],{"term":25,"count":26},"雷氏症候群",4,{"term":28,"count":29},"阿斯匹靈禁忌",2,{"term":31,"count":10},"低血糖與高血氨",{"term":33,"count":10},"肝酵素升高",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-maternal-pediatric-079","有關早產兒腦室內出血，下列護理處置之敘述，何者最適當？",79,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-maternal-pediatric-015","有關產後情緒變化之敘述，下列何者正確？①產後沮喪婦女可自行復原 ②產後精神病婦女會出現幻聽、幻覺而傷害新生兒 ③重度產後憂鬱婦女具有自殺危險性 ④產後精神病常出現於產後 2 個月之後",15,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-113-2-maternal-pediatric-009","葉女士，懷孕 39 週，因破水入院待產。護理師進行腹部觸診時，在宮底處觸摸到一個較軟，且比較不圓的胎兒部位；在恥骨聯合附近觸摸到一個較硬，似圓形的胎兒部位，接著在肚臍以下的部位聽取到清楚的胎心音。陰道內診時，摸到圓滑且硬的胎兒部位。判斷其胎產式為何？",9,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-maternal-pediatric-007","陳女士，懷孕 12 週又 3 天，過去曾經在 9 週時自然流產一次，家裡有 3 個孩子，分別是 40 週出生的女兒 1 個、35 週出生的雙胞胎 2 個，以孕產史記錄法，其產次應為？",7,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-maternal-pediatric-061","小英，6 歲大，診斷為肺炎，目前痰分泌物黏稠，胸部聽診發現左肺上葉前節有明顯的濕囉音，為小英執行胸腔物理治療，下列護理措施何者正確？",61,106,{"webId":60,"stem":61,"number":42,"year":62,"session":29},"nurse-107-2-maternal-pediatric-015","陳女士待產時感到疼痛不安並要求止痛藥物，護理師依醫囑給與 meperidine（demerol）50mg 肌肉注射，下列護理措施何者較不適宜？",107,"2026-09-04",1788510743123]