[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-046":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":26},"nurse-112-3-產兒科護理學-046","nurse-112-3-maternal-pediatric-046",112,3,46,"有關輪狀病毒（rotavirus）和諾羅病毒（norovirus）之比較，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"輪狀病毒好發於嬰幼兒，諾羅病毒好發於所有年齡層","輪狀病毒有疫苗預防，諾羅病毒則無","輪狀病毒會產生腸毒素，諾羅病毒機轉尚不清楚","兩者傳染途徑均屬糞口傳染","C",null,[],"本題考點是輪狀病毒與諾羅病毒的流行病學與致病機轉比較,問的是『錯誤』者。逐項核對:A正確,輪狀病毒好發於6個月～2歲嬰幼兒,諾羅病毒各年齡層均可感染。B正確,輪狀病毒有口服疫苗(如Rotarix、RotaTeq),諾羅病毒目前無疫苗。D正確,兩者主要傳染途徑都是糞口傳染(亦可經污染食物、飛沫)。C被判為錯誤:考科層級以輪狀病毒致瀉機轉為破壞小腸絨毛、造成吸收不良與滲透性腹瀉來理解,將其一概描述為『產生腸毒素』並不精確,加以其餘三項皆為正確敘述,以刪去法本題錯誤者即C,故選C。","深入釐清致病機轉:輪狀病毒感染小腸絨毛頂端上皮,破壞刷狀緣雙醣酶→乳糖等吸收不良造成滲透性腹瀉;其非結構蛋白NSP4在研究上被視為首個『病毒性腸毒素』會促進氯離子分泌,但在國考層級題目常以『絨毛破壞、吸收不良』為標準解釋,故將C的籠統腸毒素敘述判為與標準說法不符。此點屬概念表述之爭議,故把握度標中等。防治重點對比:輪狀病毒——疫苗預防、好發嬰幼兒、冬季;諾羅病毒——無疫苗、全年齡、群聚爆發(郵輪、學校)、極低病毒量即可感染、酒精性乾洗手效果差須用肥皂洗手與漂白水消毒。",[24,27,29,31],{"term":25,"count":26},"輪狀病毒絨毛破壞機轉",1,{"term":28,"count":26},"諾羅病毒流行病學",{"term":30,"count":26},"輪狀病毒疫苗",{"term":32,"count":26},"糞口傳染途徑",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-047","小倩，11 歲，有急性腎衰竭病史，因控制不佳，此次入院診斷為慢性腎衰竭，有關其護理照護之敘述，下列何者最不適當？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-043","小琪，女嬰，新生兒篩檢診斷為先天性腎上腺增生症（congenital adrenal hyperplasia, CAH），護理師提供給小琪父母的護理指導，下列敘述何者最不適當？",43,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-maternal-pediatric-037","小英，6個月，出現輕微發燒、食慾不振、喉嚨痛、耳後及後頸部淋巴結腫大等症狀。他先在臉部出現粉紅色斑丘疹，再漫延至頸部、手臂、軀幹，而後逐漸往下肢發展，但疹子出現3天即消除。小英最可能感染下列何種疾病？",37,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-035","有關慢性病兒童，提供以家庭為中心之照顧，下列敘述何者較不適當？",35,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-maternal-pediatric-029","謝女士懷孕 39 週，入院待產中，產程進度情形為：子宮頸擴張 8 cm，變薄 80%，高度為+2，已破水。胎兒監測器圖形顯示胎心率下降至 100 bpm，減速的時間與子宮收縮沒一定關係，下列何者為最有可能的情形？",29,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-1-maternal-pediatric-063","有關新生兒罹患先天性梅毒的敘述，下列何者錯誤？",63,108,"2026-09-04",1788510745670]