[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-004":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-113-1-產兒科護理學-004","nurse-113-1-maternal-pediatric-004",113,1,4,"王女士，32歲，妊娠8週，前一胎因21對染色體異常引產，詢問此次有關唐氏症篩檢之敘述，下列何者最合適？",{"A":14,"B":15,"C":16,"D":17},"建議妊娠16～18週之間，可以接受絨毛膜穿刺，確定胎兒染色體是否正常","建議妊娠11～12週之間，可以接受羊膜腔穿刺，確定胎兒染色體是否正常","建議妊娠21～24週之間，可以進行母血唐氏症篩檢，確定胎兒染色體是否正常","建議妊娠15～20週之間，可以接受頸部透明帶的檢測，確定胎兒染色體是否正常","D","第4題一律給分",[],"本題考點在於各項唐氏症與染色體檢查的適當週數與方法配對，須辨識選項中週數與檢查是否相符。逐項檢視：A 絨毛膜穿刺（CVS）正確時機為妊娠 10～12 週，而非 16～18 週，時程錯誤；B 羊膜腔穿刺正確時機為妊娠 16～18 週，而非 11～12 週，時程亦錯；C 母血唐氏症篩檢分第一孕期（約 11～13 週）與第二孕期（約 15～20 週），非 21～24 週，時程不符。D 頸部透明帶（NT）超音波搭配母血指標屬第一孕期篩檢，雖題目寫 15～20 週略有爭議，但相對其他選項的明顯錯誤，本題以 D 為官方正解。故選 D。","檢查時程整理：頸部透明帶（NT）——妊娠 11～13⁺⁶ 週，測胎兒頸後透明帶厚度合併母血 PAPP-A、free β-hCG 篩檢；絨毛膜穿刺（CVS）——10～12 週，可較早得知染色體；羊膜腔穿刺——16～18 週，為確診性檢查。此案例有前一胎 21 三體（唐氏症）病史，屬高風險，臨床會提供確診性檢查與遺傳諮詢。此題各選項多有週數錯置陷阱，作答時務必逐一核對『檢查方法—適當週數』的對應。因 D 選項週數描述亦有瑕疵，把握度標中等。",[24,27,29,31],{"term":25,"count":26},"唐氏症篩檢",3,{"term":28,"count":10},"頸部透明帶NT",{"term":30,"count":10},"絨毛膜穿刺與羊膜腔穿刺時程",{"term":32,"count":10},"產前遺傳診斷",[34,38,41,46,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-005","有關妊娠期的心臟血管系統生理變化，下列敘述何者錯誤？",5,{"webId":39,"stem":40,"number":10,"year":9,"session":26},"nurse-113-3-maternal-pediatric-001","有關我國目前優生保健法中的人工流產之相關規定與法則，下列敘述何者正確？",{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-114-1-maternal-pediatric-045","有關急性腎絲球腎炎（acute glomerulonephritis）病童的照護措施，下列敘述何者最適當？",45,114,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-115-2-maternal-pediatric-043","罹患血友病病童，有關其護理指導，下列敘述何者錯誤？",43,115,2,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-maternal-pediatric-037","有關子宮肌瘤處置之敘述，下列何者正確？",37,107,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-1-maternal-pediatric-071","王小弟，3 歲，罹患法洛氏四重症。每天早上 9 點與晚上 9 點需服用毛地黃。若在早上需服藥時間的 3 小時後，發現遺漏服用，下列護理措施何者正確？",71,108,"2026-09-04",1788510750675]