[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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":26},"nurse-115-2-產兒科護理學-037","nurse-115-2-maternal-pediatric-037",115,2,37,"有關卡介苗建議接種時間，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"出生滿 1～4 個月","出生滿 5～8 個月","出生滿 9～12 個月","出生滿 13～16 個月","B",null,[],"本題考點在於台灣現行預防接種時程中卡介苗的接種月齡。為降低嬰兒接種後發生瀰漫性卡介苗感染的風險,同時兼顧結核病防治效益,現行時程將卡介苗的接種時間定在出生滿五至八個月,故選 B。A 錯在出生滿一至四個月屬過去的舊時程,已經調整。C 與 D 的九至十二個月、十三至十六個月則延後過久,這段期間若接觸傳染源將失去疫苗保護,也不符合現行公費接種的安排。","延伸原理:卡介苗屬活性減毒疫苗,若接種對象本身有先天性免疫功能缺陷,活菌可能擴散造成瀰漫性感染,而多數原發性免疫缺陷要到出生數月後才會由反覆感染等表現被察覺,因此把接種時間延後到五至八個月,可爭取辨識高風險嬰兒的時間窗,同時仍在幼兒重症結核風險期之前完成保護。接種部位在左上臂三角肌,採皮內注射;接種後兩到三週局部出現紅色小結節,再形成膿腫並在數月內結痂留下疤痕,屬正常反應,不需擠壓或塗藥。禁忌包含免疫功能缺陷、正在使用免疫抑制劑、發燒或急性疾病。考點設計邏輯:此題純粹考時程記憶,四個選項只差月齡,務必記住現行版本而非教科書舊版。可連結概念:活性減毒與不活化疫苗分類、結核菌素測驗判讀、公費疫苗時程表。",[24,27,30,32,34],{"term":25,"count":26},"活性減毒疫苗",4,{"term":28,"count":29},"卡介苗接種時程",1,{"term":31,"count":29},"瀰漫性卡介苗感染風險",{"term":33,"count":29},"皮內注射技術",{"term":35,"count":29},"預防接種禁忌",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-maternal-pediatric-038","王小弟，8 歲，罹患氣喘住院治療後病情已穩定，有關護理師提供居家照護指導，下列何者錯誤？",38,{"webId":42,"stem":43,"number":26,"year":44,"session":10},"nurse-106-2-maternal-pediatric-004","有關精液分析檢查的說明，下列何者錯誤？①禁慾 3～7 天再採檢 ②使用保險套和性交中斷法來收集精液 ③留取精液後 2～3 小時內送至檢查地點 ④精液必須冷凍保存",106,{"webId":46,"stem":47,"number":48,"year":49,"session":29},"nurse-107-1-maternal-pediatric-018","有關母乳與配方奶差異的敘述，下列何者正確？",18,107,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-108-1-maternal-pediatric-056","王小妹，8 歲，國小 2 年級，依據皮亞傑（Piaget）認知發展理論，其處於「具體運思期」階段，有關此階段發展特性，下列何者正確？",56,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-020","有關產後痛（after pain）的護理，下列何者錯誤？",20,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-054","小衡，7 歲，因妥瑞氏症（Tourette’s disorder），在學校常出現搖頭聳肩、發出狗叫聲，導致班上同學嘲笑，下列護理措施何者不適當？",54,110,"2026-08-06",1787299007300]