[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-maternal-pediatric-059":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-059","nurse-106-2-maternal-pediatric-059",106,2,59,"下列那一種對象是接種麻疹、腮腺炎、德國麻疹混合疫苗（MMR）的禁忌者？",{"A":14,"B":15,"C":16,"D":17},"1 年前曾輸過血者","靜脈注射高劑量免疫球蛋白 11 個月以上者","4 個月前肌肉注射 B 型肝炎免疫球蛋白者","預備 3 個月內懷孕的婦女","D",null,[],"本題考點在 MMR(麻疹、腮腺炎、德國麻疹混合疫苗)的禁忌症。MMR 含德國麻疹活性減毒病毒,理論上致畸胎,故孕婦禁打、接種後應避孕至少 1 個月;『預備 3 個月內懷孕的婦女』屬近期計畫懷孕,為禁忌,選 D。A 錯:1 年前輸血,間隔已足、抗體已代謝,非禁忌。B 錯:高劑量 IVIG 需間隔約 11 個月,題述『11 個月以上』已達間隔可接種。C 錯:B 肝免疫球蛋白(HBIG)間隔約 3 個月,4 個月前施打已過間隔,可接種。核心在活疫苗孕婦禁忌與被動抗體干擾間隔。","MMR 為活性減毒疫苗,禁忌包括:懷孕(及近期計畫懷孕)、嚴重免疫缺失、對疫苗成分(如 neomycin、明膠)嚴重過敏、近期輸注含抗體血製品未達間隔。被動抗體會中和活疫苗病毒,干擾間隔依製品而異(HBIG 約 3 個月,高劑量 IVIG 約 11 個月)。孕婦禁忌是因減毒 rubella 理論致畸;接種後避孕 1 個月。記憶:『活疫苗怕孕婦、怕免疫低下、怕剛輸抗體』。",[24,27,29,31],{"term":25,"count":26},"MMR 活性減毒疫苗禁忌",1,{"term":28,"count":26},"孕婦\u002F近期懷孕禁忌",{"term":30,"count":26},"被動抗體干擾間隔",{"term":32,"count":26},"德國麻疹致畸風險",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-maternal-pediatric-060","小明，3 歲，發燒 38.5℃，哭鬧不安，胃口不好，活動力差，至小兒急診求治，診斷為急性鼻咽炎，有關小明的照護措施，何者較不適當？",60,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-maternal-pediatric-076","有關膀胱輸尿管逆流（Vesicoureteral Reflux, VUR），下列敘述何者錯誤？",76,107,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-108-1-maternal-pediatric-010","有關胎血循環，下列何者正確？",10,108,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-109-1-maternal-pediatric-048","有關兒童氣喘（Asthma）的敘述，下列何者正確？",48,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-maternal-pediatric-012","有關待產婦呼吸技巧之敘述，下列何者錯誤？",12,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-maternal-pediatric-046","丁丁，3 歲，被家中養的母貓咬傷手背，傷口流血，疼痛哭泣，送至急診處理，下列處置何者錯誤？",46,111,"2026-09-04",1788510699646]