[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-maternal-pediatric-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-107-2-產兒科護理學-010","nurse-107-2-maternal-pediatric-010",107,2,10,"有關第一孕期唐氏症篩檢的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"檢測項目包括母血的 β-hCG 與妊娠關聯之血漿蛋白 A（PAPP-A）以及超音波掃描測量胎兒頸部透明帶厚度","若胎兒頸部透明帶厚度大於 6 毫米，則可懷疑唐氏症或其他染色體異常","此項母血篩檢可提早至妊娠 11～14 週左右執行","唐氏症四指標篩檢的正確偵測率為 50%","D",null,[],"本題考點在第一孕期唐氏症篩檢的內容與偵測率。唐氏症「四指標」母血篩檢屬第二孕期（15～20 週）檢查，其偵測率約可達 80%，並非 50%，故 D 敘述明顯偏低、為錯誤選項。A 第一孕期組合篩檢確含母血 β-hCG、PAPP-A 與超音波頸部透明帶厚度（NT），敘述正確。B 頸部透明帶明顯增厚時懷疑唐氏症或其他染色體異常，方向正確。C 第一孕期組合篩檢執行時機約在妊娠 11～14 週，敘述正確。本題要辨識「四指標偵測率遠高於 50%」，故錯誤者為 D。","唐氏症篩檢層級可串記：第一孕期組合（NT＋β-hCG＋PAPP-A，11～14 週，偵測率約 85%）、第二孕期四指標（AFP、hCG、uE3、inhibin A，偵測率約 80%）、非侵入性 NIPT（游離胎兒 DNA，偵測率 >99%）、確診則靠絨毛採樣或羊膜穿刺做染色體核型。篩檢報「風險值」非確診，陽性須再行確診檢查。連結概念：頸部透明帶 NT、PAPP-A、NIPT、羊膜穿刺。",[24,27,30,32],{"term":25,"count":26},"唐氏症篩檢",3,{"term":28,"count":29},"第一孕期組合篩檢",1,{"term":31,"count":29},"頸部透明帶 NT",{"term":33,"count":29},"四指標偵測率",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-maternal-pediatric-011","有關妊娠期婦女甲狀腺分泌功能變化的敘述，下列何者正確？",11,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-108-1-maternal-pediatric-027","有關新生兒黃疸之敘述，下列何者錯誤？",27,108,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-108-2-maternal-pediatric-041","有關青少年病人住院的護理，下列何者錯誤？",41,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-maternal-pediatric-079","當懷疑個案出現腦膜炎時，醫師常會執行柯林氏徵象（Kernig’s sign）之身體評估，此評估正確做法為何？",79,109,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-111-1-maternal-pediatric-043","有關遭受性虐待後之兒童可能出現的行為表現，下列敘述何者不適當？",43,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-1-maternal-pediatric-077","有關使用格拉斯哥氏昏迷量表（Glasgow Coma Scale, GCS）評估兒童意識程度，下列敘述何者正確？",77,112,"2026-09-04",1788510725716]