[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-028":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-112-2-產兒科護理學-028","nurse-112-2-maternal-pediatric-028",112,2,28,"有關於胎兒與新生兒免疫系統之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"IgM 是唯一可以通過胎盤的抗體","胎兒無法自行製造 IgA，可由初乳而獲得","出生時新生兒體內之抗體主要為 IgA","當新生兒的 IgG 值升高，顯示有子宮內感染","B",null,[],"本題考點為胎兒與新生兒的免疫特性與各類抗體來源。考點在於：胎兒無法自行製造 IgA，出生後可由初乳獲得分泌型 IgA 提供腸道被動免疫，故正解為 B。A 錯誤，能通過胎盤的是 IgG（分子最小）而非 IgM；C 錯誤，新生兒出生時體內主要抗體為來自母體經胎盤的 IgG，而非 IgA；D 錯誤，新生兒 IgM 升高才提示子宮內感染，因 IgM 無法通過胎盤、若升高代表胎兒自行對感染產生反應，而非 IgG。","抗體特性對比：IgG 分子小、唯一可通過胎盤，提供出生後前數月的被動免疫；IgM 分子最大不過胎盤，故臍血或新生兒 IgM 升高代表宮內感染（如 TORCH）；IgA 不過胎盤，出生後靠初乳供給黏膜免疫。記憶口訣：「G 過胎盤保護早期、M 升高代表宮內感染、A 靠初乳顧腸道」。",[24,27,29,31],{"term":25,"count":26},"免疫球蛋白 IgG 通過胎盤",1,{"term":28,"count":26},"IgM 與宮內感染",{"term":30,"count":26},"分泌型 IgA 與初乳",{"term":32,"count":26},"新生兒被動免疫",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-029","使用 New Ballard Score 評估足月兒成熟度與妊娠週數的最佳時間為：",29,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-maternal-pediatric-045","有關尿道下裂（hypospadias）病童術後之敘述，下列何者最適當？",45,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-maternal-pediatric-039","有關細菌性肺炎（bacterial pneumonia）敘述，下列何者正確？",39,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-maternal-pediatric-037","在流感好發的季節，一位母親帶著嬰兒來健兒門診詢問護理師，可以接種第一劑流感疫苗的時間，下列何者正確？",37,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-011","有關護理師進行新生兒抽吸之敘述，下列何者正確？",11,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-maternal-pediatric-045","為嬰幼兒進行胸腔物理治療的叩擊（percussion）時，下列何項步驟不適當？",107,"2026-09-04",1788510748229]