[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-009":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-106-2-產兒科護理學-009","nurse-106-2-maternal-pediatric-009",106,2,9,"有關海洋性貧血的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是一種體染色體顯性遺傳疾病","α 型海洋性貧血是第 16 對染色體控制 α 型血球素製造的基因缺損","β 型海洋性貧血是第 11 對染色體控制 β 型血球素製造的基因缺損","要根治 β 型海洋性貧血的唯一方法是骨髓移植","A",null,[],"本題考點在海洋性貧血（地中海型貧血，thalassemia）的遺傳與分子基礎。海洋性貧血是體染色體「隱性」遺傳疾病，A 稱其為「顯性」遺傳，方向錯誤，故選 A。B 對，α 型海洋性貧血源自第 16 對染色體上控制 α 型血球蛋白鏈製造的基因缺損；C 對，β 型海洋性貧血源自第 11 對染色體控制 β 鏈的基因缺損；D 對，β 型重症根治方法為造血幹細胞（骨髓）移植。題目問「錯誤」，遺傳模式（隱性誤植為顯性）是唯一硬傷。","遺傳原理：體染色體隱性表示需雙親各帶一缺陷基因、子女方可能發病，帶因者（帶一個缺陷基因）通常僅輕微貧血或無症狀，故婚前與孕前篩檢帶因者是預防重症兒的關鍵。分子記憶對子——α 鏈基因在第 16 對、β 鏈基因在第 11 對；α 缺損重症為胎兒水腫（Hb Bart's），β 缺損重症為庫利氏貧血（需長期輸血並排鐵）。長期輸血致鐵質沉積，須以排鐵劑處理。此病為台灣婚前健檢重點篩檢項目。",[24,27,30,32,34],{"term":25,"count":26},"體染色體隱性遺傳",11,{"term":28,"count":29},"海洋性貧血thalassemia",1,{"term":31,"count":29},"α鏈第16對染色體",{"term":33,"count":29},"β鏈第11對染色體",{"term":35,"count":29},"骨髓移植根治",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-maternal-pediatric-010","5 歲小美詢問媽媽：「為什麼妹妹會住在媽媽的肚子裡面，妹妹可以出來和我見面嗎？」護理師給予母親的建議，下列何者最適當？",10,{"webId":42,"stem":43,"number":44,"year":45,"session":29},"nurse-107-1-maternal-pediatric-026","出生 3 天的足月新生兒，出生體重為 3,000 公克，採純母乳哺餵，下列何項營養評估的結果為異常﹖",26,107,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-107-2-maternal-pediatric-040","下列何種治療方式，最常用在子宮頸糜爛時的治療？",40,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-maternal-pediatric-078","有關皮肌炎（dermatomyositis）兒童的護理評估，下列何者錯誤？",78,108,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-110-1-maternal-pediatric-042","小方，3 歲，因急性腸胃炎住院，下列何種行為反應顯示小方處於分離焦慮的抗議期？",42,110,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-111-1-maternal-pediatric-076","小華，5 歲，罹患腎病症候群（nephrotic syndrome），全身出現水腫。為預防因水腫可能產生的皮膚完整性受損，下列護理指導何者不適當？",76,111,"2026-09-04",1788510699120]