[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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":10},"nurse-114-2-產兒科護理學-039","nurse-114-2-maternal-pediatric-039",114,2,39,"小櫻，18 個月大，因細支氣管炎（bronchiolitis）住院治療，對其疾病的相關敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"主要為飛沫及接觸傳染","易出現吸氣喘鳴音（wheezing）","常見為肺炎鏈球菌感染","嚴重時會出現呼吸性鹼中毒","A",null,[],"本題考點在於嬰幼兒細支氣管炎的疾病特性。依流行病學，細支氣管炎主要由呼吸道融合病毒(RSV)引起，經飛沫與接觸傳染，敘述最適當故選A。B錯，細支氣管阻塞造成的是呼氣性喘鳴而非吸氣喘鳴；C錯，致病原以病毒為主而非肺炎鏈球菌；D錯，換氣困難導致二氧化碳滯留，易出現呼吸性酸中毒而非鹼中毒。","RSV是2歲以下細支氣管炎與嬰兒下呼吸道感染主因,秋冬流行,接觸與飛沫傳染。小氣道發炎水腫、分泌物阻塞造成呼氣延長與呼氣性喘鳴、過度充氣。治療以支持性為主(氧氣、水分、鼻腔抽吸),Palivizumab用於高危早產兒被動免疫預防。",[24,26,28,31],{"term":25,"count":10},"細支氣管炎",{"term":27,"count":10},"呼吸道融合病毒RSV",{"term":29,"count":30},"呼氣性喘鳴",1,{"term":32,"count":30},"傳染途徑",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-maternal-pediatric-040","王小妹，6 個月，因熱性痙攣（febrile seizure）出現全身抽搐，王小妹的母親詢問護理師：「再出現全身抽搐時，該如何處置？」，下列護理指導何者最適當？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-115-1-maternal-pediatric-036","瀕死兒童出現肌肉緊張力降低，下列敘述何者最不適當？",36,115,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-106-1-maternal-pediatric-030","黃小妹採純母乳哺餵，食慾不錯，出生第 3 天媽媽發現黃小妹臉上膚色黃黃的，測得血清膽紅素為 12 mg\u002FdL，護理師的相關解釋何者正確？",30,106,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-107-1-maternal-pediatric-068","有關兒童會厭炎（epiglottitis）的敘述，下列何者錯誤？",68,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-maternal-pediatric-032","承上題，護理師的處置下列何者不適當？",32,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-maternal-pediatric-066","有關體染色體隱性遺傳之疾病，下列何者錯誤？",66,109,"2026-09-04",1788510760267]