[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-055":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-產兒科護理學-055","nurse-112-1-maternal-pediatric-055",112,1,55,"吳小弟血型為 B 型，因血型與 O 型的母親不合而造成溶血，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"「ABO 血型不合」的黃疸會比「Rh 因子不合」者嚴重","「ABO 血型不合」通常發生在第二胎以後的新生兒","有較高機會發生聽力損傷、發展遲緩等後遺症","吳小弟需要換血，使用血品為 B 血型","C",null,[],"本題考點為新生兒溶血症中 ABO 血型不合的特性與後遺症。母親 O 型、嬰兒 B 型屬 ABO 不合。依機轉，ABO 不合因抗體效價較弱、黃疸通常比 Rh 因子不合輕微，故 A 錯；O 型母親天生即帶抗 A、抗 B 抗體，第一胎即可發病，並非第二胎以後，故 B 錯。溶血造成的高膽紅素若滲入腦部形成核黃疸，確實可導致聽力損傷與發展遲緩等後遺症，C 正確。換血須選不含相應抗原、與母體抗體相容的血型，通常用 O 型而非 B 型，故 D 錯，正解為 C。","對比記憶：Rh 不合黃疸重、需前胎致敏故多見於第二胎以後；ABO 不合黃疸輕、第一胎即可發生（母體本有天然 IgM／IgG 抗體）。核黃疸為未結合膽紅素沉積於基底核所致，後遺症含感覺神經性聽損、腦性麻痺、發展遲緩。換血血型選擇原則：紅血球需與「母親抗體」相容，故 O 型不合時常選 O 型血。",[24,26,28,30],{"term":25,"count":10},"ABO 血型不合溶血",{"term":27,"count":10},"Rh 因子不合",{"term":29,"count":10},"核黃疸與後遺症",{"term":31,"count":10},"換血血型選擇",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-maternal-pediatric-056","有關提供慢性病兒童家庭之持續性及全面性照護的護理措施，下列敘述何者較不適當？",56,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-maternal-pediatric-072","小芳，17 歲，即將準備接受造血幹細胞移植，下列敘述何者錯誤？",72,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-maternal-pediatric-036","有關預防造成新生兒猝死之睡眠環境的護理指導，下列敘述何者正確？",36,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-maternal-pediatric-034","孩子剛死亡，父母哀傷並哭泣。下列護理處置何者較不適當？",34,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-maternal-pediatric-038","有關更年期婦女變化之敘述，下列何者正確？",38,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-maternal-pediatric-072","先天性心臟病的嬰兒常因餵食困難而造成營養攝取不足。有關嬰兒餵食的護理措施，下列敘述何者錯誤？",107,"2026-09-04",1788510742907]