[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-產兒科護理學-058","nurse-112-2-maternal-pediatric-058",112,2,58,"小立，6 歲，一週前被三斑家蚊叮咬，之後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬的症狀，其抽取腦脊髓液的檢查結果，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"蛋白質上升","血小板下降","球蛋白反應為陰性","葡萄糖下降","A",null,[],"本題考點為病毒性腦炎的腦脊髓液（CSF）檢驗特徵。由三斑家蚊叮咬後出現發燒、頭痛、嘔吐、痙攣、頸部僵硬，臨床指向日本腦炎等病毒性腦（膜）炎，依病毒性感染的 CSF 變化，蛋白質輕度上升、葡萄糖正常、白血球以淋巴球為主，故選 A 蛋白質上升。B 錯在血小板下降屬周邊血液指標，非腦脊髓液的典型變化。C 錯在球蛋白反應（如 Pandy test）於中樞感染時多呈陽性反應而非陰性。D 錯在病毒性感染 CSF 葡萄糖通常正常，葡萄糖顯著下降是細菌性腦膜炎的特徵，非病毒性。","CSF 鑑別是必考重點：細菌性腦膜炎—外觀混濁、壓力高、蛋白高、葡萄糖低、以多形核白血球（嗜中性球）為主；病毒性—外觀清澈、蛋白正常至輕升、葡萄糖正常、以淋巴球為主。三斑家蚊為日本腦炎病媒蚊，屬病毒性腦炎。記憶關鍵「細菌吃糖（葡萄糖低）、病毒不吃糖（葡萄糖正常）」，可快速判別本題。",[24,27,29,31],{"term":25,"count":26},"病毒性腦炎",1,{"term":28,"count":26},"腦脊髓液檢驗",{"term":30,"count":26},"日本腦炎",{"term":32,"count":26},"細菌性與病毒性 CSF 鑑別",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-059","有關玫瑰疹（Roseola Infantum）的相關敘述，下列何者正確？",59,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-025","王女士罹患梅毒，王女士表示先生如果知道了，他會失去先生，不停掩面哭泣，下列護理措施何者最適當？",25,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-019","下列何項護理措施較無法改善新生兒溢奶的狀況？",19,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-017","有關新生兒頭顱血腫（cephalohematoma）的敘述，下列何者錯誤？",17,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-041","兒科護理師的角色和功能，下列敘述何者錯誤？",41,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-075","有關性早熟（precocious puberty）的敘述，下列何者錯誤？",75,107,"2026-09-04",1788510748485]