[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-049":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-114-3-產兒科護理學-049","nurse-114-3-maternal-pediatric-049",114,3,49,"林小妹，15 個月大，疑似腦膜炎住院，有關此疾病之敘述下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"細菌性腦膜炎之脊髓液中蛋白質值明顯升高","病毒性腦膜炎之脊髓液中葡萄糖值明顯升高","細菌性腦膜炎症狀較輕，病程數天可改善","身體評估會有明顯克爾尼格氏徵象（Kernig’s sign）","A",null,[],"本題考點在於腦膜炎的腦脊髓液判讀與臨床特徵。依細菌性腦膜炎的病理,細菌大量繁殖與發炎滲出使腦脊髓液中蛋白質明顯升高、葡萄糖下降、外觀混濁,故 A 正確。B 錯,病毒性腦膜炎的葡萄糖多為正常,不會明顯升高;C 錯,細菌性腦膜炎病程急、症狀重、可致命,並非症狀輕微數天自癒;D 錯,15 個月大的嬰幼兒腦膜刺激徵象(如克爾尼格氏徵象)常不明顯或不可靠,反而以前囟膨出、躁動、餵食差表現,故此敘述較不適當。","腦脊髓液鑑別記憶表:細菌性——蛋白↑↑、葡萄糖↓↓、以嗜中性球為主、外觀混濁;病毒性——蛋白正常或微升、葡萄糖正常、以淋巴球為主、外觀清澈。細菌性須緊急抗生素治療。嬰幼兒因神經發育與囟門未閉,典型頸部僵直與 Kernig\u002FBrudzinski 徵象敏感度低。",[24,26,29,31],{"term":25,"count":10},"細菌性腦膜炎",{"term":27,"count":28},"腦脊髓液蛋白升高",1,{"term":30,"count":28},"葡萄糖下降",{"term":32,"count":28},"嬰幼兒腦膜刺激徵不可靠",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-maternal-pediatric-050","小玉，1 歲 6 個月，罹患熱性痙攣，住院中突然痙攣發作，下列護理措施何者最適當？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-maternal-pediatric-046","小金，5 個月大，罹患甲狀腺功能低下症，目前接受 L-thyroxine 治療，有關小金的居家照護，下列敘述何者錯誤？",46,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-106-2-maternal-pediatric-010","5 歲小美詢問媽媽：「為什麼妹妹會住在媽媽的肚子裡面，妹妹可以出來和我見面嗎？」護理師給予母親的建議，下列何者最適當？",10,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-maternal-pediatric-048","協助罹患腦瘤病童之家庭正向因應疾病時，下列護理照護何者較不適當？",48,107,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-109-1-maternal-pediatric-012","第二產程胎頭娩出時，為了減少會陰部撕裂傷，下列措施何者較不適當？",12,109,{"webId":60,"stem":61,"number":41,"year":62,"session":28},"nurse-110-1-maternal-pediatric-046","下列何者是造成兒童燒傷急救期（emergent period）休克的主要原因？",110,"2026-09-04",1788510762672]