[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-112-3-產兒科護理學-019","nurse-112-3-maternal-pediatric-019",112,3,19,"下列何種免疫球蛋白胎兒無法自行合成，需於出生後從母乳中獲得？",{"A":14,"B":15,"C":16,"D":17},"IgM","IgG","IgA","IgE","C",null,[],"本題考點在於各類免疫球蛋白的胎盤通透性與新生兒被動免疫來源。依免疫學，IgA 分子量大、無法通過胎盤，胎兒亦無法自行大量合成，主要由出生後母乳（尤其初乳）中的分泌型 IgA 獲得，提供腸道與黏膜的被動保護，故選 C。A IgM 分子量最大不過胎盤，且新生兒可自行少量合成，非來自母乳；B IgG 是唯一能大量通過胎盤的抗體，非需由母乳補足；D IgE 與過敏反應有關，非新生兒經母乳被動免疫的主要來源。","口訣：「IgG 過胎盤、IgA 靠母乳、IgM 自己造」。IgG 提供出生後數月的全身性被動免疫；初乳富含分泌型 IgA，覆蓋新生兒腸胃道黏膜抵禦病原，這正是鼓勵哺餵初乳的免疫學依據。臍帶血 IgM 升高常提示子宮內感染。",[24,26,29,31],{"term":25,"count":10},"分泌型 IgA",{"term":27,"count":28},"免疫球蛋白胎盤通透性",1,{"term":30,"count":28},"初乳被動免疫",{"term":32,"count":28},"IgG 胎盤傳輸",[34,38,44,49,54,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-020","陳女士，G 3 P 0 SA 2 ，前兩胎均在妊娠 16～18 週左右因無痛性破水自然流產，目前陳女士妊娠 16 週，產檢發現胎兒發育與週數相符、子宮張力正常、子宮頸長度為 2.4 公分、擴張 2 公分。有關產前照護的敘述，下列何者較適當？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-016","下列何種情況適合裝置子宮內避孕器？",16,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-maternal-pediatric-010","林女士，G 1P 0，懷孕41週，因自然破水及規則陣痛到院檢查，陰道內診子宮頸已擴張2公分，宮縮時疼痛分數為2分（0-10分量表）故協助辦理住院待產。林女士此時最可能出現下列何種行為反應？",10,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-008","影響分娩的因素中，包含母體骨盆及胎頭徑線。下列敘述何者錯誤？",8,115,{"webId":55,"stem":56,"number":43,"year":57,"session":28},"nurse-107-1-maternal-pediatric-002","有關臺灣產科護理現況之敘述，下列何者正確？",107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,108,"2026-09-04",1788510745405]