[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-medical-surgical-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"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-內外科護理學-007","nurse-112-3-medical-surgical-007",112,3,7,"若母親的 HBsAg 與 HBeAg 皆為陽性，其所生的新生兒於出生 24 小時內需接受下列何種注射？",{"A":14,"B":15,"C":16,"D":17},"干擾素","類固醇","B 型肝炎疫苗","B 型肝炎免疫球蛋白","D",null,[],"本題考點在於 B 型肝炎母嬰垂直傳染的新生兒預防措施與被動免疫時機。母親 HBsAg 與 HBeAg 皆陽性代表高傳染力，新生兒須於出生 24 小時內立即注射 B 型肝炎免疫球蛋白（HBIG）提供即時的被動免疫以中和病毒，故選 D。判斷關鍵是「24 小時內給的是提供現成抗體的 HBIG」。C 的 B 型肝炎疫苗雖也須在出生後儘速接種，但屬主動免疫、需時間才產生抗體，無法在暴露當下立即保護，故對高危新生兒須疫苗與 HBIG 併用。A 干擾素、B 類固醇皆非母嬰預防用藥。","B 型肝炎母嬰阻斷採「主動＋被動免疫併用」：HBIG（被動免疫）提供現成抗 HBs 抗體立即中和病毒，於出生 24 小時內、越早越好注射；B 肝疫苗（主動免疫）刺激新生兒自身產生抗體，於不同部位同時或儘速接種，並依時程完成後續劑次。HBeAg 陽性代表病毒複製活躍、傳染力高，故此類母親所生新生兒務必完整接受兩者，可將垂直感染率大幅降低。",[24,27,29,31],{"term":25,"count":26},"B 型肝炎垂直感染",1,{"term":28,"count":26},"B 型肝炎免疫球蛋白 HBIG",{"term":30,"count":26},"被動免疫",{"term":32,"count":26},"HBeAg 傳染力",[34,38,44,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-medical-surgical-008","有關腹腔鏡檢查的敘述，下列何者正確？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-medical-surgical-004","當顱內出血病人發生顱內壓升高時，顱內開始代償顱內壓的機制，下列敘述何者正確？",4,113,2,{"webId":45,"stem":46,"number":47,"year":42,"session":10},"nurse-113-3-medical-surgical-048","李先生用餐時，突然發生激烈咳嗽及呼吸困難，並伴有「咻」、「咻」喘氣聲，下列何者最為可能？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-medical-surgical-046","格雷氏病（Grave’s disease）會出現下列何種臨床表徵？①神經質    ②眼球突出   ③怕冷   ④手指顫抖    ⑤脛前凹陷性水腫",46,115,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-106-2-medical-surgical-070","低血容積與脫水的病人會出現的臨床表徵，不包括下列何者？",70,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-medical-surgical-024","有關喉癌手術後發聲及吞嚥功能改變之敘述，下列何者錯誤？",24,108,"2026-09-04",1788510744815]