[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-2-產兒科護理學-003","nurse-115-2-maternal-pediatric-003",115,2,3,"有關孕期乙型鏈球菌篩檢之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"應在第一孕期檢測，以早期治療","孕婦檢測陽性，通常會出現明顯的感染症狀","孕婦檢測陽性，在孕期中應立即接受抗生素治療","孕婦檢測陽性，新生兒經過母體產道，可能併發敗血症","D",null,[],"本題考點是乙型鏈球菌（GBS）篩檢的時機、症狀與給藥時機。依垂直感染機轉，帶菌孕婦的陰道與肛門直腸菌落會在胎膜破裂或胎兒經產道時上行或接觸感染新生兒，可造成早發型敗血症、肺炎與腦膜炎，故 D 正確。A 錯：篩檢安排在妊娠 35～37 週前後，因菌落狀態會隨時間改變，第一孕期結果無法預測產時帶菌情形。B 錯：帶菌屬定殖而非侵入性感染，孕婦絕大多數無症狀，這也是需要普篩的理由。C 錯：孕期投予抗生素無法根除定殖、日後仍會再現，真正有效的是產程中給予預防性抗生素。","GBS 的關鍵在於區分「定殖（colonization）」與「感染（infection）」：定殖者無症狀、不需孕期治療；預防的標的是產時垂直傳播，所以首選 penicillin 類藥物於產程中靜脈給藥，並須在胎兒娩出前達到足夠給藥時間才算完整預防。高風險條件如早產、破水超過 18 小時、產時發燒、前胎曾有 GBS 疾病等，即使未篩檢也依適應症給藥。可延伸連結新生兒早發型與晚發型 GBS 疾病的時序差異，以及新生兒敗血症的非特異性徵象。",[24,26,28,31],{"term":25,"count":10},"乙型鏈球菌篩檢",{"term":27,"count":10},"垂直感染",{"term":29,"count":30},"產時預防性抗生素",1,{"term":32,"count":30},"新生兒敗血症",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-004","趙女士，29 歲，曾流產一次，有一個 4 歲大的兒子（懷孕 40 週出生），一個剛滿 1 歲的女兒（懷孕 36 週出生），現因再次懷孕而到產科門診檢查，病歷記錄趙女士的孕產史為：",4,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-106-1-maternal-pediatric-050","小強，15 個月大，被診斷有輕微的腦性麻痺（cerebral palsy）。小強爸爸是個食品公司全職行銷人員，媽媽則在電腦公司上班，家中有請外傭照顧小強，外傭每週一次帶小強去醫院做復健，下列何者為主要的護理措施？",50,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-064","凱凱，5 歲，罹患法洛氏四重畸形（tetralogy of fallot;TOF），常出現有缺氧發作（blue spells），有關缺氧發作的臨床表徵，不包括下列何者？",64,{"webId":48,"stem":49,"number":50,"year":51,"session":30},"nurse-108-1-maternal-pediatric-022","吳女士產後第 2 天於餵母奶時表示：「妹妹跟爸爸長得好像！」此時產婦的行為屬於下列何者？",22,108,{"webId":53,"stem":54,"number":55,"year":56,"session":30},"nurse-109-1-maternal-pediatric-066","小瑋，6 歲，罹患膽道閉鎖，多年來等不到肝臟移植，面臨死亡，父母在與小瑋討論死亡時，下列敘述何者錯誤？",66,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-020","李女士，哺餵母乳，產後出院前表示：「我暫時不想懷孕，想跟以前一樣吃避孕藥，可以考慮使用避孕器，其他方法就不用了。」，下列敘述何者最適當？",20,110,"2026-08-06",1787299006888]