[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":65},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-110-2-基礎醫學-039","nurse-110-2-basic-medicine-039",110,2,39,"胎兒紅血球母細胞症（erythroblastosis fetalis）的主要病因為何？",{"A":15,"B":16,"C":17,"D":18},"母親的血紅素球蛋白 β 鏈異常","母親與胎兒血型不合","母親的紅血球細胞膜異常","母親葉酸缺乏","B",null,[],"本題考點在胎兒紅血球母細胞症(erythroblastosis fetalis)的病因。此症本質為母胎血型不合引起的胎兒溶血,典型為Rh陰性母親曾致敏後產生抗-D抗體(IgG),經胎盤攻擊Rh陽性胎兒紅血球,造成溶血、貧血與代償性紅血球母細胞大量進入循環,故選B。A血紅素β鏈異常屬地中海貧血或鐮刀型貧血的遺傳缺陷;C紅血球膜異常見於遺傳性球形紅血球症;D葉酸缺乏造成巨球性貧血,三者皆非本症機轉。故病因為母胎血型不合。","Rh溶血:第一胎致敏(分娩時胎血入母體),第二胎抗-D IgG過胎盤溶血→黃疸、貧血、胎兒水腫(hydrops fetalis)、核黃疸風險。預防用RhoGAM(anti-D免疫球蛋白)於28週及產後72小時內給予。ABO不合較輕(抗體多為IgM不易過胎盤或反應溫和)。可連結新生兒換血與光照治療高膽紅素血症。",[25,28,30,32],{"term":26,"count":27},"胎兒紅血球母細胞症",1,{"term":29,"count":27},"母胎血型不合",{"term":31,"count":27},"Rh因子",{"term":33,"count":27},"抗-D抗體",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-basic-medicine-040","梅克爾氏憩室（Meckel diverticulum）最常見的異位組織，下列何者正確？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-111-1-basic-medicine-056","使用左多巴（levodopa）治療帕金森氏症時，不會產生下列何種副作用？",56,111,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-112-1-basic-medicine-020","下列有關吸氣時的敘述，何者錯誤？",20,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-018","抗利尿激素（antidiuretic hormone）最能增加下列何處對水分的再吸收（reabsorption）？",18,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-basic-medicine-022","全身性紅斑性狼瘡（systemic lupus erythematosus, SLE）所造成的血球數目低下（cytopenia）病變，主要與下列何種過敏反應有關？",22,114,3,{"webId":61,"stem":62,"number":63,"year":64,"session":27},"nurse-106-1-basic-medicine-066","有關免疫球蛋白 IgG 的敘述，下列何者正確？",66,106,"2026-09-04",1788510727645]