[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-108-2-產兒科護理學-066","nurse-108-2-maternal-pediatric-066",108,2,66,"小冬，5 歲半，是一位初診斷後長期需要類固醇治療的腎病症候群的病童，今年秋天母親提出預防接種的問題，下列何種疫苗適用於小冬？",{"A":14,"B":15,"C":16,"D":17},"水痘疫苗（varicella）","麻疹疫苗（measles）","流行性感冒病毒（influenza）","麻疹、腮腺炎、德國麻疹混合疫苗（MMR）","C",null,[],"本題考點為長期類固醇治療（免疫抑制狀態）病童的疫苗選擇原則。依免疫學，高劑量或長期全身性類固醇會抑制細胞免疫，接種「活性減毒疫苗」可能引發疫苗株感染，故屬禁忌。A 水痘、B 麻疹、D 麻疹腮腺炎德國麻疹混合（MMR）皆為活性減毒疫苗，對免疫抑制的腎病症候群病童不適用。C 流行性感冒疫苗（注射劑型為不活化疫苗）安全且此族群屬高危險群更應接種，故選 C。判斷關鍵在於辨識「活性 vs 不活化」。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840759963]