[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-1-產兒科護理學-063","nurse-109-1-maternal-pediatric-063",109,1,63,"新生兒曾暴露於巨細胞病毒、德國麻疹等感染源中，下列那一種抗體濃度會升高？",{"A":14,"B":15,"C":16,"D":17},"γ 球蛋白","IgG","IgA","IgM","D",null,[],"本題考點在於免疫球蛋白的胎盤通透性與子宮內感染判讀。依免疫學原理，IgM 分子量大、無法通過胎盤，故新生兒體內若 IgM 濃度升高，代表是胎兒自身對子宮內感染（如巨細胞病毒、德國麻疹等 TORCH 感染）產生的抗體，是先天感染的重要指標，故選 D。B 的 IgG 可經胎盤由母體傳給胎兒，新生兒體內 IgG 多來自母體、無法區分是否為自身感染。C 的 IgA 亦不通過胎盤，但主要存在黏膜與初乳，並非急性子宮內感染的血清指標。A 的 γ 球蛋白是泛稱免疫球蛋白的統稱，並非特定指標。故答案為 IgM。","口訣：「M 代表 Made by baby（胎兒自製）」，因 IgM 過不了胎盤，臍血 IgM 上升＝子宮內感染。相對地 IgG 是唯一能通過胎盤的免疫球蛋白，提供新生兒出生後數月的被動免疫，隨後逐漸下降形成生理性低谷。TORCH（Toxoplasma、Others、Rubella、CMV、HSV）是子宮內感染的經典組合，臍血 IgM 陽性是篩檢線索。",[24,27,29,31],{"term":25,"count":26},"TORCH 感染",3,{"term":28,"count":10},"IgM 不通過胎盤",{"term":30,"count":10},"IgG 可通過胎盤",{"term":32,"count":10},"子宮內\u002F先天感染指標",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-064","小明，2 個月大，罹患後天免疫缺乏症候群，有關預防接種的敘述，下列何者錯誤？",64,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-maternal-pediatric-080","小英 6 歲，因扁平足（flat foot）就診，有關護理指導之敘述，下列何者正確？",80,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-110-2-maternal-pediatric-014","有關第二產程的敘述，下列何者錯誤？",14,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-maternal-pediatric-052","生理徵象的改變為評估疼痛的重要指標之一，下列何種徵象與疼痛較無直接關係？",52,111,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-112-3-maternal-pediatric-016","有關產後會陰傷口評估與護理措施，下列敘述何者正確？",16,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-010","林女士，G 1P 0，懷孕41週，因自然破水及規則陣痛到院檢查，陰道內診子宮頸已擴張2公分，宮縮時疼痛分數為2分（0-10分量表）故協助辦理住院待產。林女士此時最可能出現下列何種行為反應？",10,114,"2026-09-04",1788510713748]