[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-005":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-112-3-產兒科護理學-005","nurse-112-3-maternal-pediatric-005",112,3,5,"有關羊膜穿刺術（amniocentesis）的檢查時機及情況，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"懷孕 12 週婦女，曾生育染色體異常","懷孕 16 週婦女，先前有習慣性流產","懷孕 16 週婦女，罹患慢性高血壓","懷孕 18 週婦女，母血唐氏症篩檢危險比值為 1\u002F720","B",null,[],"本題考點是羊膜穿刺術(amniocentesis)的『時機』與『適應症』須同時正確。遺傳性羊膜穿刺一般於16～18週施行,此時羊水量足、細胞培養成功率高。A雖『曾生育染色體異常』屬適應症,但列於12週太早,時機錯誤。B為16週(時機正確),習慣性流產可能與父母染色體平衡轉位有關屬遺傳檢查適應症,時機與情況皆對,故選B。C慢性高血壓非染色體檢查適應症。D唐氏篩檢切點約1\u002F270,危險比值1\u002F720風險『低於』切點(分母越大風險越低),不符高風險而無需羊膜穿刺。","掌握兩個關鍵刻度:時機16～18週、唐氏篩檢切點1\u002F270。切點判讀要小心方向——比值1\u002F270代表約270人中1人,數字越大(如1\u002F720、1\u002F1000)代表機率越小、風險越低;高於切點(如1\u002F200、1\u002F100)才轉介羊膜穿刺。羊膜穿刺主要適應症:高齡(≥34歲)、曾生育染色體異常兒、夫妻一方染色體異常(含習慣性流產查因)、母血篩檢高風險、超音波異常。對比其他產前診斷:絨毛膜取樣(CVS)可提早到10～13週但不能測神經管缺損,羊膜穿刺較晚但可測AFP評估神經管缺損。",[24,27,29,31],{"term":25,"count":26},"羊膜穿刺16-18週",1,{"term":28,"count":26},"唐氏症篩檢切點1\u002F270",{"term":30,"count":26},"染色體檢查適應症",{"term":32,"count":26},"習慣性流產與染色體異常",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-006","素食者在懷孕期較易缺乏下列何項維生素？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":41},"nurse-113-2-maternal-pediatric-002","孫女士於產檢時，詢問葉酸補充注意事項，下列何者為最適當的護理指導？",2,113,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-113-3-maternal-pediatric-046","有關排尿性膀胱尿道攝影（voiding cystoureterography,VCUG）的敘述，下列何者最適當？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-115-1-maternal-pediatric-044","小均，13 歲，診斷為第一型糖尿病，有關胰島素注射的護理指導，下列敘述何者最適當？",44,115,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-106-2-maternal-pediatric-068","有關兒童感染人類免疫缺乏病毒（HIV）的途徑，下列何者錯誤？",68,106,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-108-1-maternal-pediatric-022","吳女士產後第 2 天於餵母奶時表示：「妹妹跟爸爸長得好像！」此時產婦的行為屬於下列何者？",22,108,"2026-09-04",1788510745259]