[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-產兒科護理學-029","nurse-110-1-maternal-pediatric-029",110,1,29,"有關新生兒免疫系統的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"新生兒自妊娠 20 週後即可自行合成少量的免疫球蛋白（IgM，IgG，IgE）","第三妊娠期中，IgG 可通過胎盤，胎兒即可獲得來自母體的被動免疫能力","IgM 無法通過胎盤，若新生兒體內 IgM 值偏高，即可能表示胎兒有感染現象","IgE 可自初乳中分泌出來，因此哺餵母乳的新生兒，較易獲得來自母體的 IgE","D",null,[],"本題考點是新生兒免疫系統與各類免疫球蛋白的特性，屬找錯誤選項題。考點在於初乳與母乳中含量最高、提供腸道與呼吸道黏膜保護的是分泌型免疫球蛋白A（sIgA），並非IgE，故D「IgE可自初乳分泌、哺乳者較易獲得母體IgE」為錯誤敘述。A正確，胎兒約自妊娠20週後可自行合成少量免疫球蛋白。B正確，第三孕期IgG可經胎盤主動運輸，使胎兒獲得母體被動免疫。C正確，IgM分子大無法通過胎盤，新生兒IgM偏高提示子宮內感染。辨明IgA主導母乳免疫、IgG主導經胎盤被動免疫、IgM無法過胎盤這三者分工是解題核心。","免疫球蛋白在周產期各司其職，宜以「過不過胎盤、來源何處」記憶：IgG是唯一能經胎盤主動運輸者，於第三孕期大量傳給胎兒，提供出生後數月的被動免疫，也因此早產兒抗體較少、感染風險高。IgM分子最大、不過胎盤，臍血或新生兒IgM升高代表胎兒自身對子宮內感染（如TORCH）產生反應。IgA尤其分泌型sIgA是母乳（特別是初乳）的主角，覆蓋新生兒腸道黏膜阻擋病原，是母乳保護力的核心。IgE與過敏及寄生蟲反應相關，並非母乳被動免疫的傳遞主體，此為本題誤述所在。",[24,26,28,30],{"term":25,"count":10},"IgG經胎盤被動免疫",{"term":27,"count":10},"IgM無法通過胎盤",{"term":29,"count":10},"分泌型IgA母乳保護",{"term":31,"count":10},"胎兒免疫球蛋白合成",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-030","有關女陰癌之敘述，下列何者正確？",30,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-046","美國精神疾病診斷準則手冊第五版（DSM-5）將自閉症、亞斯伯格症及未分類廣泛性發展障礙，統稱為自閉症類群障礙症（autism spectrum disorder, ASD），有關其身心表徵，下列何者錯誤？",46,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-060","小雄，9 歲，因抽搐發作住院接受檢查，當護理師以腦波檢查的相關圖片及故事，解說檢查的流程及相關注意事項並澄清小雄的錯誤觀念時，此為下列何種治療性遊戲？",60,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-018","丁女士主訴無法忍受生產疼痛並接受 meperidine（Demerol）注射，給藥後護理師監測其呼吸速率低於每分鐘 10 次，下列何種藥物能改善此情形？",18,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-042","有關扁桃腺切除（tonsillectomy）術後飲食之護理指導，下列敘述何者適當？",42,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-036","有關嬰兒玫瑰疹（roseola infantum）在發疹期的敘述，下列何者正確？",36,114,3,"2026-09-04",1788510721847]