[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-037":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-114-1-產兒科護理學-037","nurse-114-1-maternal-pediatric-037",114,1,37,"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？",{"A":14,"B":15,"C":16,"D":17},"麻疹（measles）","德國麻疹（rubella）","嬰兒玫瑰疹（roseola infantum）","感染型紅斑（erythema infectiosum）","B",null,[],"本題考點在於出疹性傳染病的鑑別診斷，關鍵線索是「疹子由臉部向下漫延、耳後及後頸淋巴結腫大、疹子 3 天即消退」。此為德國麻疹（rubella）的典型特徵——輕微前驅症狀、枕後與耳後淋巴結腫大、玫瑰色斑丘疹自臉向下擴散且消退快（俗稱三日疹），故選 B。A 麻疹（measles）有明顯高燒、咳嗽、結膜炎與口腔柯氏斑（Koplik spots），疹子持續較久且會脫屑。C 嬰兒玫瑰疹特徵是「高燒 3～4 天退燒後才出疹」，順序相反。D 感染型紅斑（第五病）以雙頰「巴掌臉」紅斑為特徵，與本題不符。","德國麻疹三日疹記憶點：耳後\u002F枕後淋巴結腫大是招牌前驅徵象，疹子向下蔓延、3 天速退。臨床最大威脅是孕婦感染致先天性德國麻疹症候群（CRS：白內障、心臟缺損、耳聾）。鑑別口訣：麻疹＝柯氏斑＋高燒久疹；玫瑰疹＝燒退才出疹；第五病＝巴掌臉；德國麻疹＝耳後淋巴結＋三日疹。",[24,27,29,31],{"term":25,"count":26},"先天性德國麻疹症候群",4,{"term":28,"count":10},"德國麻疹",{"term":30,"count":10},"出疹性疾病鑑別",{"term":32,"count":10},"耳後淋巴結腫大",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-maternal-pediatric-038","使用氧氣頭罩（O 2 hood）之照護措施，下列敘述何者最不適當？",38,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-maternal-pediatric-034","有關早產兒呼吸暫停的照護處置，下列敘述何者錯誤？",34,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-maternal-pediatric-028","下列何者不屬於兒童疏忽的行為表現？",28,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-maternal-pediatric-016","有關產婦第二產程之護理措施，下列何者正確？",16,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-maternal-pediatric-060","宏宏，8 個月大，因支氣管炎住院接受治療，服用口服藥物的護理指導，下列何者正確？",60,108,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-109-2-maternal-pediatric-014","承上題，廖女士的子宮收縮逐漸增強，陣痛越來越密且痛的持續時間較久，胎膜在此時破裂，護理師立即扶她上床，躺下後最優先執行的措施為：",14,109,"2026-09-04",1788510757961]