[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-111-2-產兒科護理學-033","nurse-111-2-maternal-pediatric-033",111,2,33,"臍帶血中可作為胎兒在子宮內感染診斷之免疫球蛋白，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"IgA","IgE","IgG","IgM","D",null,[],"本題考點在利用免疫球蛋白判斷胎兒子宮內感染。IgM分子量大、無法通過胎盤屏障，若臍帶血中偵測到升高的IgM，代表胎兒自身免疫系統已對感染產生反應，故可作為子宮內感染（如TORCH）之診斷依據，選D正確。考點在於IgM不過胎盤、故其升高反映胎兒自身感染。選項C IgG是唯一能通過胎盤的免疫球蛋白，臍帶血中的IgG主要來自母體被動傳輸，無法區分是母源或胎兒自製，不能作為胎兒感染指標；選項A IgA主要存在於黏膜與初乳，非子宮內感染診斷用；選項B IgE與過敏及寄生蟲反應相關，與胎兒感染診斷無關。三個錯項或來自母體被動傳輸、或功能與感染診斷無關，唯IgM因不通過胎盤而具診斷特異性。","免疫球蛋白與胎盤：IgG是唯一可經胎盤主動運輸者，提供新生兒出生後數月的被動免疫；IgM分子最大、五聚體，無法過胎盤，故新生兒血中若有IgM必為自身產生，成為子宮內感染（TORCH：弓形蟲、其他、德國麻疹、巨細胞病毒、單純疱疹）的重要指標。IgA主要在黏膜分泌與初乳；IgE介導第一型過敏與抗寄生蟲。記憶：「IgG過胎盤給被動免疫、IgM升高代表胎兒自己中鏢」。",[24,27,29,31,33],{"term":25,"count":26},"免疫球蛋白",1,{"term":28,"count":26},"IgM不通過胎盤",{"term":30,"count":26},"子宮內感染",{"term":32,"count":26},"IgG胎盤傳輸",{"term":34,"count":26},"TORCH",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-maternal-pediatric-034","王女士，G 1 P 0 ，過去產檢皆正常，於妊娠 32 週產檢時主訴胎動有減少情形，感到很擔心，此時何項處置最適當？",34,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-112-1-maternal-pediatric-050","有關不同年齡層兒童口服用藥，下列敘述何者正確？",50,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-maternal-pediatric-064","曹小妹為足月產新生兒，有關其出生後會出現之循環變化，下列何者正確？",64,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-113-3-maternal-pediatric-032","3 歲的小杰生病住進了加護病房第 4 天，小杰顯得安靜、沉默以及對病房的事物不感興趣，其分離焦慮是處於那個時期？",32,113,3,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-115-1-maternal-pediatric-036","瀕死兒童出現肌肉緊張力降低，下列敘述何者最不適當？",36,115,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-2-maternal-pediatric-050","為學齡前期兒童執行侵入性治療時，下列護理措施何者錯誤？",106,"2026-09-04",1788510739288]