[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-114-1-產兒科護理學-025","nurse-114-1-maternal-pediatric-025",114,1,25,"吳女士，25歲，罹患淋病（gonorrhea），下列產後護理措施何者適當？",{"A":14,"B":15,"C":16,"D":17},"指導其性生活可以繼續，但頻率要減少","教導執行自我陰道灌洗技術","收集子宮頸口分泌物進行細菌培養","使用2% tetracycline藥膏預防新生兒眼疾發生","C",null,[],"本題考點在於產後淋病個案的適當護理措施。依感染控制與診斷原則，收集子宮頸口分泌物進行細菌培養可確立診斷並指引後續抗生素治療，屬適當措施，C 正確。A 淋病具高傳染性，性生活減少頻率仍會傳染，須待治療完成並使用防護，僅減少頻率的指導不當，故錯誤；B 陰道灌洗會破壞正常菌叢並可能將病原推向上生殖道，增加骨盆腔感染風險，不應教導，故錯誤；D 預防新生兒淋菌性眼炎的標準用藥為 0.5% 紅黴素（erythromycin）眼藥膏，非 2% tetracycline，故錯誤。故選 C。","淋病由淋病雙球菌引起，可經產道致新生兒淋菌性結膜炎（ophthalmia neonatorum），故新生兒出生後常規點紅黴素眼藥膏預防。母親確診靠分泌物培養或核酸檢測，治療以抗生素為主並須伴侶同治。陰道灌洗與「減少頻率仍持續性行為」皆屬錯誤照護。記憶：新生兒眼炎預防等於紅黴素眼膏。",[24,27,29,31],{"term":25,"count":26},"淋病",2,{"term":28,"count":10},"細菌培養",{"term":30,"count":10},"新生兒淋菌性結膜炎",{"term":32,"count":10},"紅黴素眼藥膏",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-026","兒童急救的生命之鏈（pediatric chain of survival）有五個環環相扣的重要程序，第一步驟為何？",26,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-022","有關 HELLP 症候群，下列敘述何者正確？",22,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-115-2-maternal-pediatric-016","陳女士，G 3 P 1 SA 2 ，採陰道分娩，會陰 4 度裂傷，出院前詢問：「何時可以恢復性生活？」，下列護理指導何者最適當？",16,115,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-004","有關孕期婦女之生理變化，下列何者為異常？",4,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-048","王小妹，8 歲，罹患急性腎絲球腎炎，若出現少尿情形，有關飲食之護理指導，下列何項應避免？",48,108,{"webId":59,"stem":60,"number":26,"year":61,"session":26},"nurse-109-2-maternal-pediatric-002","有關以家庭為中心的產科照護，下列何者錯誤？",109,"2026-09-04",1788510757855]