[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-108-1-產兒科護理學-007","nurse-108-1-maternal-pediatric-007",108,1,7,"有關絨毛膜取樣（Chorionic Villus Sampling）之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可檢測胎兒神經管發育缺陷","可檢測胎兒染色體缺陷","建議妊娠 10～12 週執行","易出現胎兒四肢缺損","A",null,[],"本題考點為絨毛膜取樣（CVS）的適應與限制，題目要選「錯誤」者。絨毛膜取樣採取胎盤絨毛細胞，主要用於胎兒染色體與基因分析，無法檢測與羊水中甲型胎兒蛋白相關的神經管缺陷，故選 A 為錯誤。神經管缺陷需靠母血或羊水的甲型胎兒蛋白與超音波偵測，CVS 因不取羊水故驗不到。選項 B 正確，CVS 可檢測染色體異常如唐氏症。選項 C 正確，CVS 建議在妊娠約 10～12 週執行，比羊膜穿刺更早得知結果。選項 D 正確，過早（10 週前）施行 CVS 與胎兒肢體缺損風險有關，故不建議在 10 週前進行。","產前診斷取樣時機對照：絨毛膜取樣約 10～12 週、羊膜穿刺約 15～20 週。CVS 取的是絨毛（胎盤組織），做染色體與 DNA 分析，早期即可得知；但因不含羊水，無法測甲型胎兒蛋白，故驗不出開放性神經管缺陷。神經管缺陷篩檢靠母血甲型胎兒蛋白（升高）與超音波。過早 CVS 與橫向肢體缺損有關聯。記憶重點：CVS 早、驗染色體、不驗神經管；羊膜穿刺晚、可驗甲型胎兒蛋白。連結概念：甲型胎兒蛋白、羊膜穿刺、唐氏症篩檢。",[24,27,29,31],{"term":25,"count":26},"絨毛膜取樣",2,{"term":28,"count":10},"檢測染色體不驗神經管缺陷",{"term":30,"count":10},"甲型胎兒蛋白",{"term":32,"count":10},"取樣時機10至12週",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-008","一般建議孕期無壓力試驗（NST）開始測試的時間點和目的之敘述，下列何者正確？",8,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-108-2-maternal-pediatric-024","新生兒出生後進行口鼻抽吸之目的為何？",24,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-maternal-pediatric-038","有關子宮內膜癌之敘述，下列何者正確？",38,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-maternal-pediatric-076","有關病童罹患膀胱輸尿管逆流（Vesicoureteral Reflux; VUR）的初期臨床表徵，下列敘述何者正確？",76,110,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-111-2-maternal-pediatric-040","有關乳癌的護理措施，下列何者正確？",40,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-maternal-pediatric-074","王小弟，6 歲，因下腹部疼痛、噁心、嘔吐等現象到急診室求治，懷疑闌尾炎，有關闌尾炎的評估，下列何者最適當？",74,112,"2026-09-04",1788510710276]