[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-2-產兒科護理學-022","nurse-112-2-maternal-pediatric-022",112,2,22,"有關乳腺炎用藥治療及哺乳建議，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"最常見的致病菌多為金黃色葡萄球菌，必要時給予 ampicillin 加上持續哺乳最有效","投與抗盤尼西林黴素時，不建議服藥 2 小時內哺乳","可以持續哺乳且用藥後 24～48 小時，發燒、發紅及硬塊情況通常就會改善","可以持續哺乳，但為了降低藥物對嬰兒的影響，症狀消失後即可停藥","C",null,[],"本題考點為乳腺炎的用藥與哺乳原則。考點在於哺乳性乳腺炎應「持續哺乳並排空乳汁」以助引流，且適當抗生素治療後 24～48 小時內發燒、發紅與硬塊多會改善，故選 C。A 致病菌多為金黃色葡萄球菌雖正確，但首選為抗青黴素酶類抗生素而非單純 ampicillin，敘述不夠精確；B「服藥兩小時內不建議哺乳」缺乏依據，多數哺乳期抗生素可持續哺乳；D 症狀消失即停藥錯誤，抗生素須完成整個療程以免復發與抗藥性。","乳腺炎多因乳汁淤積合併乳頭裂傷讓金黃色葡萄球菌侵入。治療核心是「引流勝於藥物」，持續哺乳或排空能疏通阻塞。因金黃色葡萄球菌常產生青黴素酶，抗生素首選 dicloxacillin、cephalexin 等抗青黴素酶製劑，療程通常 10～14 天須完成。若 48～72 小時未改善須評估膿瘍形成。",[24,27,30,32],{"term":25,"count":26},"金黃色葡萄球菌",3,{"term":28,"count":29},"哺乳性乳腺炎",1,{"term":31,"count":29},"抗生素療程完整性",{"term":33,"count":29},"持續哺乳與乳汁引流",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-maternal-pediatric-023","有關初乳的敘述，下列何者不適當？",23,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-112-3-maternal-pediatric-039","有關罹患急性會厭炎（acute epiglottitis）病童的臨床表徵，下列何者錯誤？",39,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,113,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-3-maternal-pediatric-031","有關 10 歲兒童的繪畫發展特色，下列敘述何者正確？",31,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-005","孕期婦女需增加碘的攝取，主要促進胎兒何部分的發育？",5,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-maternal-pediatric-039","朱女士，29 歲，主訴上週做過流產手術，因發燒和下腹部壓痛前來就診，內診時見子宮頸有膿狀分泌物，細菌培養結果為淋病雙球菌、披衣菌和黴漿菌感染，最有可能的診斷為何？",107,"2026-09-04",1788510748171]