[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-107-2-產兒科護理學-009","nurse-107-2-maternal-pediatric-009",107,2,9,"有關海洋性貧血之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"海洋性貧血屬於體染色體顯性遺傳","監測平均紅血球體積（MCV）為海洋性貧血篩檢的第一步驟","若夫妻為同一型的帶因者，則孕婦可接受羊膜穿刺以利產前診斷","若夫妻為同一型的帶因者，胎兒可能罹患重型海洋性貧血的機會是 1\u002F4","A",null,[],"本題考點在海洋性貧血的遺傳模式與篩檢。海洋性貧血屬「體染色體隱性遺傳」，需父母雙方皆帶因才可能生出重症患兒，故 A 稱「顯性遺傳」與事實不符、為錯誤選項。B 篩檢第一步監測平均紅血球體積（MCV），MCV 偏低（\u003C80 fL）才進一步做血紅素電泳與基因檢查，敘述正確。C 若夫妻為同型帶因者，可經羊膜穿刺做胎兒基因產前診斷，敘述正確。D 兩帶因者（Aa×Aa）後代罹患重型的機率為 1\u002F4，符合隱性遺傳的孟德爾比例，敘述正確。故錯誤者為 A。","隱性遺傳的關鍵推理：帶因者本身多無症狀，唯有兩帶因者結合才有 1\u002F4 重症、1\u002F2 帶因、1\u002F4 正常。篩檢流程可串記：MCV 低 → 血鐵正常排除缺鐵性貧血 → 血紅素電泳分型（α 或 β）→ 基因確診 →（同型帶因）產前診斷。台灣為海洋性貧血高帶因區，故納入孕婦例行篩檢。連結概念：體染色體隱性遺傳、MCV、血紅素電泳、產前基因診斷。",[24,27,30,33],{"term":25,"count":26},"體染色體隱性遺傳",11,{"term":28,"count":29},"海洋性貧血",4,{"term":31,"count":32},"MCV 篩檢",1,{"term":34,"count":32},"1\u002F4 罹病機率",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-maternal-pediatric-010","有關第一孕期唐氏症篩檢的敘述，下列何者錯誤？",10,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-108-1-maternal-pediatric-026","產婦分娩結束其生理變化回復至懷孕前狀態的期間，稱為什麼時期？",26,108,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-108-2-maternal-pediatric-040","有關更年期婦女的脂質與脂蛋白改變，下列何者錯誤？",40,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-maternal-pediatric-078","有關發展性髖關節發育不良病童，使用帕米利克背帶（Pavlik harness）的護理措施，下列敘述何者不適當？",78,109,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-111-1-maternal-pediatric-042","當發現 8 個月大的張小弟口中塞有異物，有意識、呼吸困難，下列措施何者最適當？",42,111,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-maternal-pediatric-076","有關先天性膽道閉鎖的敘述，下列何者正確？",76,112,"2026-09-04",1788510725692]