[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-maternal-pediatric-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-1-產兒科護理學-072","nurse-111-1-maternal-pediatric-072",111,1,72,"有關新生兒篩檢的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"透過篩檢可早期發現和治療先天代謝異常的疾病","採血位置為兩腳後足跟外側","於新生兒出生滿 24 小時，或已完全由腸道進食 12 小時後採檢","初步報告疑陽性者，由負責採集機構通知家長帶個案進行複檢","C",null,[],"本題考點是新生兒代謝篩檢的採檢時機。依國內新生兒篩檢規範，應於出生滿 48 小時、且已充分哺餵（進食）後採血，以確保代謝物累積足以偵測，選項 C 寫「出生滿 24 小時或已完全由腸道進食 12 小時後採檢」時間不足而錯誤，故選 C。A 正確，篩檢目的在早期發現並治療先天代謝異常。B 正確，採血位置為新生兒兩側足跟外側。D 正確，初步報告疑陽性者由採集機構通知家長帶個案複檢確認。採檢過早會因餵食與代謝不足導致偽陰性。","新生兒篩檢多為足跟採血製成濾紙血片，篩檢先天性甲狀腺低能症、苯酮尿症、蠶豆症等代謝與內分泌疾病。需滿 48 小時並足夠餵食，是因蛋白質與代謝負荷須經進食後才會顯現異常指標，過早採檢易偽陰性、過晚則延誤治療時機。疑陽性須複檢確診而非直接診斷。記憶點：滿 48 小時、餵飽再採、足跟外側。可延伸連結各篩檢疾病的原理與複檢流程。",[24,27,30,32,34],{"term":25,"count":26},"新生兒篩檢",13,{"term":28,"count":29},"採檢時機48小時",2,{"term":31,"count":29},"偽陰性",{"term":33,"count":29},"先天代謝異常",{"term":35,"count":10},"足跟外側採血",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-maternal-pediatric-073","乳糜瀉（celiac disease）是對蛋白質中的麩質過敏而導致吸收不良的疾病，下列何種食物不適合麩質過敏的兒童食用？",73,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-maternal-pediatric-009","王女士，因卵巢過度刺激症候群（Ovarian Hyperstimulation Syndrome, OHSS）住院安胎，腹水嚴重相當不舒服，且住院很多事不方便，但會說這是值得的，會努力配合治療。王女士正進行那些懷孕期發展任務（maternal task）？①確保自己及胎兒在懷孕中能安全順利 ②使重要家人接受新生兒 ③學習貢獻自己 ④與胎兒連成一體",9,112,{"webId":47,"stem":48,"number":49,"year":45,"session":29},"nurse-112-2-maternal-pediatric-023","有關初乳的敘述，下列何者不適當？",23,{"webId":51,"stem":52,"number":53,"year":54,"session":29},"nurse-113-2-maternal-pediatric-041","下列何者為急性淋巴性白血病最有效之鑑別診斷？",41,113,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-114-3-maternal-pediatric-045","當 3 歲的腦瘤女童出現下列何種徵象時，護理師應進一步評估是否為顱內壓上升？",45,114,3,{"webId":62,"stem":63,"number":44,"year":64,"session":29},"nurse-106-2-maternal-pediatric-009","有關海洋性貧血的敘述，下列何者錯誤？",106,"2026-09-04",1788510736027]