[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-112-3-產兒科護理學-040","nurse-112-3-maternal-pediatric-040",112,3,40,"王小妹疑似心臟病入院檢查，予以抽 ASLO（anti-streptolysin O）抗鏈球菌素檢驗，此檢驗主要是診斷下列何者？",{"A":14,"B":15,"C":16,"D":17},"川崎氏症","法洛氏四重症","開放性動脈導管","急性風濕熱","D",null,[],"本題考點在於 ASLO（抗鏈球菌溶血素 O）抗體檢驗的臨床用途。ASLO 上升代表近期曾感染 A 群 β 溶血性鏈球菌，是診斷急性風濕熱的重要佐證，因急性風濕熱屬鏈球菌感染後的免疫反應性疾病，故選 D。川崎氏症（A）病因不明、診斷靠臨床準則與冠狀動脈變化，非 ASLO；法洛氏四重症（B）與開放性動脈導管（C）為先天性心臟結構異常，靠心臟超音波診斷，與鏈球菌抗體無關，故正解為 D。","急性風濕熱診斷用 Jones 準則（主要如心臟炎、多發性關節炎、舞蹈症、環形紅斑、皮下結節；次要如發燒、關節痛、ESR\u002FCRP 上升），並須有前驅鏈球菌感染證據（ASLO 上升或咽喉培養陽性）。臨床意義：ASLO 反映「曾經」感染而非現症，用於連結心臟受損與鏈球菌病史，故本題以心臟病檢查搭配 ASLO 導向風濕熱。",[24,26,27,30],{"term":25,"count":10},"A 群 β 溶血性鏈球菌",{"term":17,"count":10},{"term":28,"count":29},"ASLO 抗鏈球菌溶血素 O",1,{"term":31,"count":29},"Jones 準則",[33,37,43,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-3-maternal-pediatric-041","小梨，4 歲，診斷為缺鐵性貧血，有關鐵劑（Imferon）注射，下列何者不適當？",41,{"webId":38,"stem":39,"number":40,"year":41,"session":42},"nurse-113-2-maternal-pediatric-037","有關日本腦炎的症狀與處置，下列敘述何者錯誤？",37,113,2,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-114-1-maternal-pediatric-031","小婷，14歲，因罹患全身性紅斑性狼瘡（systemic lupus erythematosus, SLE）住院進行脈衝治療（pulse therapy），護理師提供的照護措施，下列何者不適當？",31,114,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-115-2-maternal-pediatric-029","小羽，2 歲，住加護病房一段時間，對護理師安撫由拒絕轉為接受，對父母離開，也由以往哭喊行為，轉為不在意。依據 Bowlby 與 Roberson 分離焦慮分期為那一期？",29,115,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-107-1-maternal-pediatric-023","黃女士 G 1 P 1 ，產後第三天，主訴乳房觸痛、發熱、變硬且有硬塊，下列護理指導何項正確？",23,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-108-1-maternal-pediatric-057","小華，4 歲，因急性腸胃炎住院，護理師與其溝通時，下列何者錯誤？",57,108,"2026-09-04",1788510745593]