— 照護管理 · HARD · MCQ —
兒科病房護理師正在分配工作，哪位病人應分配給一位「懷孕 24 週」的護理師？
A nurse on a pediatric unit is making assignments. Which client should be assigned to a nurse who is 24 weeks pregnant?
- AA child with parvovirus B19 (Fifth disease)患有微小病毒 B19（第五病）的兒童
- BA child with respiratory syncytial virus (RSV) receiving ribavirin接受利巴韋林（ribavirin）治療呼吸道融合病毒（RSV）的兒童
- CA child with shingles (herpes zoster) with crusted lesions患有帶痂疹（帶狀疱疹）的兒童
- DA child with group A streptococcal pharyngitis✓ 正解患有 A 群鏈球菌性咽炎的兒童
— Explanation · 中文詳解 —
這題考查感染控制與懷孕護理師的安全性。Ribavirin、Parvovirus B19（第五病）和帶狀皰疹（Shingles）對胎兒有潛在致畸性或高風險。鏈球菌咽喉炎（Streptococcal pharyngitis）只需標準及飛沫防護，對懷孕人員無特殊禁忌。護理管理必須考慮工作分配的安全性（Staff safety）。
This item assesses infection control and the safety of pregnant nurses. Ribavirin, parvovirus B19 (fifth disease), and shingles all pose potential teratogenicity or high risk to the fetus. Streptococcal pharyngitis requires only Standard and Droplet Precautions and presents no specific contraindication for pregnant personnel. Nursing management must consider staff safety when making assignments.
✦ 台美臨床差異
美國 NCLEX 常考藥物致畸性與工作分配；台灣對於懷孕護理師通常會主動避開所有隔離病房，實務上較保守。