[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-033":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-111-2-產兒科護理學-033","nurse-111-2-maternal-pediatric-033",111,2,33,"臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"IgA","IgE","IgG","IgM","D",null,[],"本題考點在利用免疫球蛋白判斷胎兒子宮內感染。IgM分子量大、無法通過胎盤屏障，若臍帶血中偵測到升高的IgM，代表胎兒自身免疫系統已對感染產生反應，故可作為子宮內感染（如TORCH）之診斷依據，選D正確。考點在於IgM不過胎盤、故其升高反映胎兒自身感染。選項C IgG是唯一能通過胎盤的免疫球蛋白，臍帶血中的IgG主要來自母體被動傳輸，無法區分是母源或胎兒自製，不能作為胎兒感染指標；選項A IgA主要存在於黏膜與初乳，非子宮內感染診斷用；選項B IgE與過敏及寄生蟲反應相關，與胎兒感染診斷無關。三個錯項或來自母體被動傳輸、或功能與感染診斷無關，唯IgM因不通過胎盤而具診斷特異性。",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？",6,1783840793325]