[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-112-3-產兒科護理學-025","nurse-112-3-maternal-pediatric-025",112,3,25,"王女士懷孕 12 週時產檢血清檢查確診梅毒感染，其掩面哭泣表示：「不知道為什麼自己會得到梅毒，是否要告訴先生？」，下列護理指導，何者不適當？",{"A":14,"B":15,"C":16,"D":17},"詢問王女士性生活史以瞭解是否具多重性伴侶","衛教梅毒主要傳染途徑為性行為，夫妻均需接受檢查與治療才能避免反覆交互感染","衛教 Penicillin 可以治療梅毒的感染，請王女士配合治療","說明梅毒在懷孕初期不會傳染給胎兒，可等懷孕 18 週再做產檢抽血確定","D",null,[],"本題考點在於孕期梅毒感染的傳染途徑與母嬰照護衛教。梅毒螺旋體可經胎盤垂直傳染給胎兒，且愈早未治療風險愈高，須及早以 Penicillin 治療。本題為反向題，不適當者為 D——聲稱「懷孕初期不會傳染給胎兒、可等 18 週再抽血確定」是錯誤資訊，恐延誤治療造成先天性梅毒。A 詢問性生活史以評估風險、B 衛教主要經性行為傳染且夫妻須同時檢查治療避免反覆交互感染、C 說明 Penicillin 為梅毒的首選治療並鼓勵配合，皆為適當衛教。","梅毒可經胎盤造成先天性梅毒（流產、死產、多重器官損害），故一旦確診應立即以 Penicillin 治療，孕期任何階段皆可傳染，愈早治療效果愈好。夫妻同治是杜絕「乒乓球式」交互再感染的關鍵；Penicillin 過敏者則需減敏後仍以 Penicillin 治療，因其為孕期梅毒唯一有效藥物。",[24,26,29,31],{"term":25,"count":10},"先天性梅毒",{"term":27,"count":28},"梅毒垂直傳染",1,{"term":30,"count":28},"Penicillin 治療",{"term":32,"count":28},"夫妻同治",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-026","小明，1 歲 8 個月大，體重 12 公斤，不慎被熱水燙到，導致前胸 15%的燒傷，立即送醫後經評估為二度燒傷，關於小明的照護措施，下列何者錯誤？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-022","下列那些為重度子癇前症的危險徵候和症狀？①嚴重頭痛 ②視力模糊 ③4 小時尿量為 400 mL ④血清肌酐酸持續下降",22,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-maternal-pediatric-016","有關哺餵母乳的好處，下列敘述何者正確？",16,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-014","有關生理性脹奶（fullness）的照護，下列敘述何者最不適當？",14,115,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-1-maternal-pediatric-008","王女士於醫師建議下，於妊娠 7 週進行超音波檢查，護理師的說明，下列何者不適當？",8,107,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-108-1-maternal-pediatric-042","下列何者是 2 歲幼兒對疼痛最不常採取的反應？",42,108,"2026-09-04",1788510745455]