[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-113-3-產兒科護理學-039","nurse-113-3-maternal-pediatric-039",113,3,39,"10 歲的連小妹持續乾咳多日，有輕微發燒，胸部 X 光檢查發現兩側下肺葉呈現間質性浸潤，痰中的單核白血球上升，且家中的雙胞胎妹妹也曾有類似的症狀，下列何者為連小妹罹患肺炎最可能的致病因子？",{"A":14,"B":15,"C":16,"D":17},"金黃色葡萄球菌","肺炎鏈球菌","黴漿菌","b 型嗜血桿菌","C",null,[],"本題考點在於學齡兒童非典型肺炎致病菌的辨識。依題幹線索：10 歲、持續乾咳、輕微發燒、胸部 X 光呈兩側下肺葉間質性浸潤、痰中單核白血球上升、且同住雙胞胎有類似症狀，這組「乾咳、間質性浸潤、群聚傳染、學齡兒」的特徵最符合黴漿菌（Mycoplasma pneumoniae），故選 C。A 金黃色葡萄球菌肺炎多為高燒、膿痰、病程猛烈；B 肺炎鏈球菌典型為肺葉性實質浸潤與膿痰；D b 型嗜血桿菌多見於未接種疫苗之幼兒，皆與間質性乾咳型表現不符。","黴漿菌又稱「行走性肺炎（walking pneumonia）」，因症狀相對輕、患者仍可活動而得名，好發學齡兒與青少年，具群聚性。無細胞壁使其對 β-lactam（如 penicillin）無效，須用巨環類（macrolide，如 erythromycin、azithromycin）。記憶重點：間質性浸潤＋乾咳＋群聚＋學齡＝黴漿菌。",[24,27,30,33],{"term":25,"count":26},"黴漿菌肺炎",6,{"term":28,"count":29},"巨環類抗生素",4,{"term":31,"count":32},"間質性浸潤",1,{"term":34,"count":32},"行走性肺炎",[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-3-maternal-pediatric-040","2 歲的王小弟罹患先天性心臟病，以毛地黃（digoxin）治療，一天服用兩次。下列敘述何者正確？",40,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-114-2-maternal-pediatric-036","進行腹部觸診時，發現腹脹且右上腹區可以觸摸到像橄欖樣狀腫塊，可判斷是何種疾病？",36,114,2,{"webId":47,"stem":48,"number":49,"year":50,"session":32},"nurse-115-1-maternal-pediatric-030","有關兒童之健康評估結果，下列敘述何者顯示發展異常？",30,115,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-106-2-maternal-pediatric-048","筱華，5 歲，在幼兒園吃完午餐時，會模仿老師收拾餐盒，此行為表現依據艾瑞克森（Erikson）的理論，她的發展屬於何階段？",48,106,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-108-1-maternal-pediatric-012","江女士待產中出現換氣過度現象，抱怨暈眩、嘴唇、手指有麻刺感，下列何者為優先護理措施？",12,108,{"webId":62,"stem":63,"number":64,"year":65,"session":32},"nurse-109-1-maternal-pediatric-046","下列何者不是瀕死兒童的生理變化？",46,109,"2026-09-04",1788510753315]