[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-113-2-產兒科護理學-047","nurse-113-2-maternal-pediatric-047",113,2,47,"有關疫苗接種對象的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"兒癌病童化療期間不宜接種水痘疫苗","體重 2,000 公克以上之新生兒，可接種卡介苗","靜脈注射免疫球蛋白的兒童需隔 4 週後才能接種疫苗","活性疫苗可接種於後天免疫缺乏症候群兒童","A",null,[],"本題考點在於疫苗接種禁忌與活性減毒疫苗的免疫缺陷禁忌。水痘疫苗屬活性減毒疫苗,免疫功能低下者接種後病毒可能不受控制而致病。A 正確:兒癌化療期間免疫嚴重抑制,禁打水痘等活性疫苗,故為最適當敘述、即答案。B 錯誤:卡介苗接種體重門檻為 2,500 公克以上而非 2,000 公克,早產兒須達標才接種。C 錯誤:注射免疫球蛋白(IVIG)後因被動抗體會中和活性疫苗病毒,須間隔更久(依劑量約 8–11 個月)才可接種麻疹腮腺炎德國麻疹等活疫苗,4 週明顯不足。D 錯誤:後天免疫缺乏症候群(AIDS)屬免疫缺陷,活性疫苗為禁忌,不可接種。","核心原則:活性減毒疫苗(MMR、水痘、卡介苗、口服輪狀、口服小兒麻痺)在免疫缺陷、化療、高劑量類固醇、孕婦身上一律禁忌,因減毒病毒仍可能致病。IVIG 含被動抗體會干擾活疫苗生效,故活疫苗須延後施打。卡介苗體重 2,500 公克門檻為台灣接種常規。記憶:活疫苗怕免疫低下與被動抗體,死疫苗則相對安全。",[24,27,29,32],{"term":25,"count":26},"活性減毒疫苗禁忌",4,{"term":28,"count":10},"免疫缺陷",{"term":30,"count":31},"卡介苗體重門檻",1,{"term":33,"count":31},"免疫球蛋白與疫苗間隔",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-maternal-pediatric-048","小妍，14 歲，被診斷為脊柱側彎（scoliosis），有關疾病特性和臨床表徵，下列敘述何者錯誤？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-maternal-pediatric-044","小雄，3歲，罹患威爾姆氏腫瘤（Wilms tumor）第三期，有關護理照護，下列敘述何者錯誤？",44,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-maternal-pediatric-038","小芷，因發燒、感冒症狀就診，診斷為黴漿菌肺炎（mycoplasma pneumonia）而入院治療，下列敘述何者最適當？",38,3,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-106-2-maternal-pediatric-006","有關胚胎與胎兒的發育，下列敘述何者正確？",6,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-maternal-pediatric-050","小珊，10 個月大，因中耳炎合併熱性痙攣住院治療，下列護理措施何者正確？",50,107,{"webId":60,"stem":61,"number":26,"year":62,"session":31},"nurse-109-1-maternal-pediatric-004","羊膜穿刺術理想檢測時間為懷孕 16～18 週，下列何者不是考量此時間點檢測的主要原因？",109,"2026-09-04",1788510755738]