[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-1-產兒科護理學-031","nurse-111-1-maternal-pediatric-031",111,1,31,"王女士，Rh(-)，初產下一位 Rh(+)的女嬰，母女均安。為了預防下次懷孕時產生胎兒大量溶血，給予母體注射 Rh 0 免疫球蛋白之時機，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"此胎產後 72 小時內","此胎產後 6～8 週","下次懷孕 28 週時","下次懷孕產後立即","A",null,[],"本題考點為Rh陰性母親預防新生兒溶血的免疫球蛋白(RhoGAM)給予時機。Rh(-)母親產下Rh(+)嬰兒後,須在產後72小時內注射Rh免疫球蛋白,以清除進入母體循環的胎兒Rh陽性紅血球、防止母體產生抗D抗體而危及下一胎,故A正確。B產後6-8週已過保護窗口太晚;C下次懷孕28週為常規產前預防劑,但本題情境問的是此胎產後把握時機;D下次懷孕產後才給則已錯過本胎致敏預防,故答案為A。","RhoGAM給藥兩時機:懷孕28週(產前預防)與分娩Rh(+)兒後72小時內(產後預防),另遇流產、羊膜穿刺、腹部外傷等致胎母輸血情況也需補打。其原理是被動免疫,搶在母體主動產生抗D抗體前清除胎兒紅血球,避免致敏。記憶:Rh(-)媽媽生Rh(+)寶寶,72小時內是黃金時間。",[24,27,29,31],{"term":25,"count":26},"被動免疫",2,{"term":28,"count":10},"Rh 免疫球蛋白 RhoGAM",{"term":30,"count":10},"72小時內",{"term":32,"count":10},"胎兒溶血預防",[34,38,42,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-maternal-pediatric-032","有關患有心臟病的孕婦最易發生心臟衰竭的時期，下列何者錯誤？",32,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-111-2-maternal-pediatric-048","有關執行兒童生命徵象的測量，下列敘述何者錯誤？",48,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-maternal-pediatric-062","小名，3 歲，疑似罹患流行性感冒，有關臨床表徵的敘述，下列何者最不適當？",62,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-maternal-pediatric-050","有關熱性痙攣（febrile convulsion）的敘述，下列何者最不適當？",50,113,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-114-3-maternal-pediatric-004","王女士，懷孕 36 週，第一胎，擔心不知何種情況要前往醫院待產，住家離醫院約 20 分鐘車程，下列指導何者最適當？",4,114,3,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-maternal-pediatric-048","小馨，20 個月，身體檢查評估時，一般而言，下列那顆乳齒尚未長出？",106,"2026-09-04",1788510735593]