[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-004":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-109-1-產兒科護理學-004","nurse-109-1-maternal-pediatric-004",109,1,4,"羊膜穿刺術理想檢測時間為懷孕 16～18 週，下列何者不是考量此時間點檢測的主要原因？",{"A":14,"B":15,"C":16,"D":17},"此時期足夠羊水量，約 200 mL","此時 α 胎兒蛋白（AFP）分泌濃度最高","子宮已上升至恥骨聯合之上，易操作","羊水中存活細胞比率最大，易培養","B",null,[],"本題考點在於羊膜穿刺術選在懷孕 16–18 週施行的原因，屬「找出非主要原因」題。此時機考量在於：羊水量足夠（約 200 mL）便於抽取、子宮已升至恥骨聯合上方易於操作定位、羊水中活細胞比例高利於培養做染色體分析。而 α 胎兒蛋白（AFP）濃度並非在此時最高，且羊水 AFP 檢測並非選擇此週數的主要理由，故 B 為非主要原因、即答案。A、C、D 皆為此時程的正確考量，故非答案。核心在辨識羊膜穿刺選期是為抽取安全與細胞培養，而非配合 AFP 濃度高峰。","羊膜穿刺（amniocentesis）主要用途是胎兒染色體與遺傳診斷，需足量羊水與可培養的胎兒脫落細胞，故選 16–18 週。過早羊水少、細胞不足且流產風險高；過晚則失去終止妊娠的時效。母血 AFP 篩檢另於 15–20 週抽血檢查神經管缺陷，與羊膜穿刺時機部分重疊，易混淆，須區分兩者目的不同。",[24,27,29,31,33],{"term":25,"count":26},"羊水量",2,{"term":28,"count":10},"羊膜穿刺術",{"term":30,"count":10},"胎兒細胞培養",{"term":32,"count":10},"α 胎兒蛋白 AFP",{"term":34,"count":10},"染色體診斷",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-maternal-pediatric-005","有關胎兒發育之敘述，下列何者錯誤？",5,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-109-2-maternal-pediatric-021","王女士剖腹產後第一天，主訴腹部疼痛。評估美容膠覆蓋之傷口無滲液，腹部叩診鼓音，子宮收縮良好，惡露色紅量少無異味，下列何項護理措施最優先？",21,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-maternal-pediatric-035","下列何者不是多囊性卵巢疾病之臨床表徵？",35,110,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-1-maternal-pediatric-073","乳糜瀉（celiac disease）是對蛋白質中的麩質過敏而導致吸收不良的疾病，下列何種食物不適合麩質過敏的兒童食用？",73,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-2-maternal-pediatric-037","有關血清抗穆氏管荷爾蒙（Anti-mullerian Hormone, AMH）檢查之敘述，下列何者錯誤？",37,112,{"webId":60,"stem":61,"number":10,"year":62,"session":63},"nurse-113-3-maternal-pediatric-001","有關我國目前優生保健法中的人工流產之相關規定與法則，下列敘述何者正確？",113,3,"2026-09-04",1788510713077]