[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-039","nurse-114-1-maternal-pediatric-039",114,1,39,"有關黴漿菌性肺炎（mycoplasma pneumonia）之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常見的呼吸音為肋膜摩擦音","主要由肺炎雙球菌引起，導致黏膜水腫","咳嗽明顯常伴有痰音，痰液黏稠、黃綠色且量多","使用藥物為erythromycin或azithromycin","D",null,[],"本題考點在於黴漿菌性肺炎（Mycoplasma pneumoniae）的病原與治療。黴漿菌缺乏細胞壁，對抑制細胞壁合成的 β-內醯胺類（如 penicillin）無效，須用作用於蛋白質合成的巨環類抗生素，故治療首選 erythromycin 或 azithromycin，選 D。A 黴漿菌肺炎屬非典型肺炎，聽診多為乾咳與零星囉音，非肋膜摩擦音，錯誤。B 主要病原為黴漿菌而非肺炎雙球菌，敘述錯誤。C 其典型表現為「乾咳、症狀與胸部X光不成比例」，痰量多且黃綠濃痰較符合典型細菌性肺炎，故 C 錯誤。","黴漿菌是最小的自我複製微生物且無細胞壁，故對 penicillin、cephalosporin 天然抗藥，須用 macrolide（erythromycin、azithromycin）或成人用 tetracycline\u002Ffluoroquinolone。臨床稱「walking pneumonia」，特徵是乾咳為主、全身症狀輕、X 光浸潤卻與聽診不成比例。學齡兒與青少年好發，可伴冷凝集素陽性。",[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},"非典型肺炎",3,{"term":34,"count":35},"無細胞壁",2,[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-114-1-maternal-pediatric-040","小強，5歲，長期服用毛地黃（digoxin）之護理指導，下列敘述何者最適當？",40,{"webId":42,"stem":43,"number":44,"year":9,"session":32},"nurse-114-3-maternal-pediatric-036","有關嬰兒玫瑰疹（roseola infantum）在發疹期的敘述，下列何者正確？",36,{"webId":46,"stem":47,"number":48,"year":49,"session":35},"nurse-115-2-maternal-pediatric-030","王小弟，足月產，疑似左鎖骨骨折，有關其照護，下列敘述何者最適當？",30,115,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-107-1-maternal-pediatric-018","有關母乳與配方奶差異的敘述，下列何者正確？",18,107,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-1-maternal-pediatric-062","有關早產兒在保溫箱中的感官刺激，下列護理措施何者正確？",62,108,{"webId":61,"stem":62,"number":63,"year":64,"session":35},"nurse-109-2-maternal-pediatric-016","有關胎心率的監測，下列敘述何者錯誤？",16,109,"2026-09-04",1788510757983]