[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-064","nurse-109-1-maternal-pediatric-064",109,1,64,"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？",{"A":14,"B":15,"C":16,"D":17},"小兒麻痺疫苗建議不可口服沙賓疫苗","終生不可接種 b 型流行性感冒嗜血桿菌疫苗","B 型肝炎、肺炎雙球菌疫苗均可按時接種","免疫功能低下，則不予接種水痘疫苗","B",null,[],"本題考點在於免疫缺乏（後天免疫缺乏症候群）兒童的預防接種原則。依疫苗學原則，免疫低下者禁用活性減毒疫苗，但不活化疫苗不僅可打、更應接種以補強保護力。B 稱「終生不可接種 b 型嗜血桿菌（Hib）疫苗」錯誤，Hib 為結合型不活化疫苗，免疫缺乏兒反而建議依時接種，故為答案。A 正確，口服沙賓（OPV）是活性減毒疫苗，免疫缺乏者不可口服，應改用不活化的沙克（IPV）。C 正確，B 型肝炎與肺炎鏈球菌疫苗均為不活化疫苗，可按時接種。D 正確，水痘疫苗屬活性減毒疫苗，免疫功能低下者不予接種。故錯誤者為 B。","分類記憶：活性減毒疫苗（OPV、MMR、水痘、卡介苗、輪狀病毒）→免疫缺乏禁忌，因可能致病；不活化\u002F次單位\u002F結合型疫苗（IPV、B 肝、Hib、肺炎鏈球菌、百日咳）→安全可打且鼓勵接種。免疫缺乏兒感染風險高，補強不活化疫苗尤為重要。此題陷阱在把「不活化的 Hib」誤植為禁忌，實則相反。",[24,27,29,31,33],{"term":25,"count":26},"活性減毒疫苗禁忌",4,{"term":28,"count":10},"免疫缺乏兒疫苗原則",{"term":30,"count":10},"Hib 結合型不活化疫苗",{"term":32,"count":10},"OPV 改用 IPV",{"term":34,"count":10},"水痘疫苗禁忌",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-maternal-pediatric-065","臺灣安寧緩和醫療條例保障不可治癒之臨終末期病人的醫療意願，有關兒童安寧緩和醫療照護，下列敘述何者錯誤？",65,{"webId":41,"stem":42,"number":10,"year":43,"session":10},"nurse-110-1-maternal-pediatric-001","有關以家庭為中心的照護，下列敘述何者正確？",110,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-110-2-maternal-pediatric-015","下列何種胎位之生產時間通常較短？",15,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-111-2-maternal-pediatric-053","有關早產兒安全的擺位，下列敘述何者不適當？",53,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-maternal-pediatric-017","促使新生兒出生後動脈導管功能性關閉的最主要原因為何？",17,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-1-maternal-pediatric-011","有關生產疼痛理論與緩解措施之敘述，下列何者正確？",11,114,"2026-09-04",1788510713752]