[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-004":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-110-1-產兒科護理學-004","nurse-110-1-maternal-pediatric-004",110,1,4,"有關常見遺傳疾病之敘述，下列何項正確？",{"A":14,"B":15,"C":16,"D":17},"唐氏症是 21 號染色體多一條，95%非遺傳所造成","X 染色體脆折症為單基因遺傳疾病，女性發生率高於男性","裘馨氏肌肉萎縮症是為染色體異常遺傳疾病，每胎產下重症寶寶機率為 1\u002F4","海洋性貧血為多基因遺傳疾病，也會受到環境因素共同調控而產生","A",null,[],"本題考點是常見遺傳疾病的遺傳模式。考點在於唐氏症多為減數分裂時第21號染色體不分離（nondisjunction）造成的三染色體，屬偶發而非家族遺傳，約95%非遺傳所致，故A正確。B錯在X染色體脆折症為X連鎖遺傳，男性只有一條X故發生率高於女性。C錯在裘馨氏肌肉萎縮症是X連鎖隱性遺傳、主要發病於男性，並非染色體數目異常，帶因母親每胎兒子1\u002F2機率患病而非每胎1\u002F4。D錯在海洋性貧血屬單一基因（體染色體隱性）遺傳，並非受環境調控的多基因疾病。辨別「染色體數目異常、X連鎖、體染色體隱性」三類是本題關鍵。","把遺傳疾病依機轉分類最好記：染色體數目異常（唐氏症21三體、愛德華氏18三體、透納氏45,X）多為偶發不分離，與年齡相關而非家族遺傳；X連鎖隱性（裘馨氏肌肉萎縮症、血友病、蠶豆症、X脆折症）由母親帶因、兒子高風險；體染色體隱性（海洋性貧血、囊性纖維化、苯酮尿症）需父母皆帶因、每胎1\u002F4。裘馨氏1\u002F2機率的陷阱在於題目誤植為體染色體隱性的1\u002F4；X連鎖帶因母親所生兒子中一半發病，需以性別分母計算。",[24,27,29,31],{"term":25,"count":26},"體染色體隱性遺傳",11,{"term":28,"count":11},"海洋性貧血",{"term":30,"count":10},"21三體不分離",{"term":32,"count":10},"X連鎖隱性遺傳",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-005","第三妊娠期孕婦身體姿勢之敘述，下列何項正確？",5,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-maternal-pediatric-021","蔡女士 18 歲，表示：「我都用保險套避孕，前幾天跟我男友發生關係，忘記要用套子，可是我們不想懷孕。」，下列敘述何者最適當？",21,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-maternal-pediatric-035","有關卵巢癌的醫療措施，下列敘述何者錯誤？",35,111,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-1-maternal-pediatric-073","陳小弟，4 歲，身體瘦弱，因貧血來院檢查，疑似寄生蟲感染，陳小弟喜歡赤腳到田裡玩泥巴，下列何者是最可能感染的寄生蟲？",73,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-maternal-pediatric-017","陳小弟出生第二天，執行親子同室。陳小弟若出現下列何種狀況，護理師應進一步評估？",17,113,{"webId":59,"stem":60,"number":26,"year":61,"session":62},"nurse-114-3-maternal-pediatric-011","有關待產婦採用腰椎硬膜外麻醉，下列敘述何者正確？",114,3,"2026-09-04",1788510721587]