[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-110-1-產兒科護理學-029","nurse-110-1-maternal-pediatric-029",110,1,29,"有關新生兒免疫系統的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"新生兒自妊娠 20 週後即可自行合成少量的免疫球蛋白（IgM，IgG，IgE）","第三妊娠期中，IgG 可通過胎盤，胎兒即可獲得來自母體的被動免疫能力","IgM 無法通過胎盤，若新生兒體內 IgM 值偏高，即可能表示胎兒有感染現象","IgE 可自初乳中分泌出來，因此哺餵母乳的新生兒，較易獲得來自母體的 IgE 代號：4104 頁次：8－4","D",null,[],"本題考點是新生兒免疫系統與各類免疫球蛋白的特性，屬找錯誤選項題。考點在於初乳與母乳中含量最高、提供腸道與呼吸道黏膜保護的是分泌型免疫球蛋白A（sIgA），並非IgE，故D「IgE可自初乳分泌、哺乳者較易獲得母體IgE」為錯誤敘述。A正確，胎兒約自妊娠20週後可自行合成少量免疫球蛋白。B正確，第三孕期IgG可經胎盤主動運輸，使胎兒獲得母體被動免疫。C正確，IgM分子大無法通過胎盤，新生兒IgM偏高提示子宮內感染。辨明IgA主導母乳免疫、IgG主導經胎盤被動免疫、IgM無法過胎盤這三者分工是解題核心。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"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？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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":26,"session":10},"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？",6,1783840762904]