[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-108-2-產兒科護理學-066","nurse-108-2-maternal-pediatric-066",108,2,66,"小冬，5 歲半，是一位初診斷後長期需要類固醇治療的腎病症候群的病童，今年秋天母親提出預防接種的問題，下列何種疫苗適用於小冬？",{"A":14,"B":15,"C":16,"D":17},"水痘疫苗（varicella）","麻疹疫苗（measles）","流行性感冒病毒（influenza）","麻疹、腮腺炎、德國麻疹混合疫苗（MMR）","C",null,[],"本題考點為長期類固醇治療（免疫抑制狀態）病童的疫苗選擇原則。依免疫學，高劑量或長期全身性類固醇會抑制細胞免疫，接種「活性減毒疫苗」可能引發疫苗株感染，故屬禁忌。A 水痘、B 麻疹、D 麻疹腮腺炎德國麻疹混合（MMR）皆為活性減毒疫苗，對免疫抑制的腎病症候群病童不適用。C 流行性感冒疫苗（注射劑型為不活化疫苗）安全且此族群屬高危險群更應接種，故選 C。判斷關鍵在於辨識「活性 vs 不活化」。","免疫抑制者疫苗原則：不活化疫苗（流感注射劑、肺炎鏈球菌、白喉百日咳破傷風、B 肝）可打；活性減毒（MMR、水痘、卡介苗、口服輪狀、鼻噴流感、口服小兒麻痺）禁用。腎病症候群病童常反覆使用 prednisolone，感染風險高，流感與肺炎鏈球菌疫苗反而是重要保護。記憶法：「活的別給沒兵的（免疫低下）」。停用高劑量類固醇後通常需間隔 1～3 個月免疫恢復才可補接種活性疫苗。",[24,27,30,32],{"term":25,"count":26},"活性減毒疫苗禁忌",4,{"term":28,"count":29},"免疫抑制",1,{"term":31,"count":29},"腎病症候群類固醇",{"term":33,"count":29},"不活化流感疫苗",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-maternal-pediatric-067","有關哮吼（croup）之敘述，下列何者正確？",67,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-109-2-maternal-pediatric-003","鄭女士因月經過期 8 週而至門診驗孕，她已有一對雙胞胎子女，曾於懷孕 8 週時胚胎因無胎心音而入院接受中止妊娠術，此次門診確認鄭女士已懷孕，因此其孕產史紀錄，下列何項正確？",3,109,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-110-1-maternal-pediatric-017","有關正常子宮收縮的特性，下列何者錯誤？",17,110,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-111-1-maternal-pediatric-055","有關新生兒胎便吸入症候群的敘述，下列何者錯誤？",55,111,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-2-maternal-pediatric-019","廖女士，41 歲，G 4 P 4 ，在今天早上 6 點以陰道分娩第四個女兒，現親子同室中，護理師詢問其他家人何時會來醫院，廖女士眼眶泛紅表示：「他們不會來啦，因為這胎又是女兒」，下列回應何者最適當？",19,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-033","劉小弟，30 週又 2 天早產兒，於新生兒加護病房接受治療，強化親子依附關係的行為，下列敘述何者較適當？",33,113,"2026-09-04",1788510707361]