[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"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-111-2-產兒科護理學-005","nurse-111-2-maternal-pediatric-005",111,2,5,"李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",{"A":14,"B":15,"C":16,"D":17},"胎兒頸部透明帶","絨毛膜取樣術","羊膜腔穿刺術","唐氏症母血檢驗","B",null,[],"本題考點在比較各項產前染色體檢查的可施行週數與確診能力。考點在於「11週、要提前確診」兩條件。絨毛膜取樣術（CVS）於懷孕10～13週即可施行，直接取胎盤絨毛做染色體核型分析，能明確診斷唐氏症，最符合此時提前確診需求，故選B。選項A胎兒頸部透明帶（NT）屬篩檢而非確診，只提供風險機率，無法定診；選項C羊膜腔穿刺術雖能確診，但一般於16～18週才施行，時間較晚不符「提前」條件；選項D唐氏症母血檢驗同樣是篩檢工具，僅估算風險值，無法確定診斷。三個錯項不是無法確診（篩檢類），就是時機太晚。","確診 vs 篩檢是本類題核心：能取得胎兒細胞做核型分析者才算確診，包括CVS（10～13週）與羊膜穿刺（16～18週）；NT、母血二指標／四指標、NIPT（非侵入性產前檢測）皆為篩檢，只給風險值。CVS優點是最早、可及早決策，缺點是流產風險略高於羊膜穿刺，且無法檢測神經管缺損（無羊水中AFP資料）。前一胎有唐氏症者屬高風險，選擇最早的確診工具合理。",[24,25,27,29],{"term":15,"count":10},{"term":26,"count":10},"頸部透明帶",{"term":16,"count":28},1,{"term":30,"count":28},"確診與篩檢區別",[32,36,41,45,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-111-2-maternal-pediatric-006","李女士，懷孕 40 週尚無產兆，前來進行 30 分鐘的無壓力試驗，有關無壓力試驗判讀所需的資料，下列何者錯誤？",6,{"webId":37,"stem":38,"number":39,"year":40,"session":28},"nurse-112-1-maternal-pediatric-022","坐月子期間純母乳哺餵的母親表示：「為什麼寶寶一喝完奶就解便、大便總是稀稀糊糊的？」下列護理指導何者最適當？",22,112,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-112-2-maternal-pediatric-036","女性月經來潮時的衛生清潔措施，下列何者不適當？",36,{"webId":46,"stem":47,"number":48,"year":49,"session":50},"nurse-113-3-maternal-pediatric-004","王女士，懷孕 16 週，有關產檢報告結果，下列何者需最優先給予衛教？",4,113,3,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-115-1-maternal-pediatric-008","吳女士，懷孕 40 週，規則陣痛入院待產，主述：「清晨 1 點開始，陸續出現不規則陣痛，清晨 3 點開始規律宮縮，大約 5～6 分鐘就痛一次。」下午 3 點子宮頸口完全擴張（10 公分）。下午 4 點 10 分自然娩出一健康男嬰。下午 4 點 20 分胎盤娩出。吳女士此次生產第二產程歷經多久時間？",8,115,{"webId":57,"stem":58,"number":39,"year":59,"session":10},"nurse-106-2-maternal-pediatric-022","王女士採陰道生產，問護理師：「我什麼時候可以裝子宮內避孕器？」下列回答何者正確？",106,"2026-09-04",1788510739020]