— 健康促進與維護 · MEDIUM · MCQ —
一位 30 歲女性詢問孕期疫苗接種事宜。護理師應指出下列哪種疫苗為禁忌？
A 30-year-old female client asks about vaccines during pregnancy. Which vaccine should the nurse identify as contraindicated?
- AMeasles, Mumps, and Rubella (MMR)✓ 正解麻疹、腮腺炎和德國麻疹疫苗 (MMR)。
- BTetanus, Diphtheria, and Pertussis (Tdap)破傷風、白喉和百日咳疫苗 (Tdap)。
- CInfluenza (inactivated)流感疫苗（不活化）。
- DHepatitis B乙型肝炎疫苗。
— Explanation · 中文詳解 —
懷孕期間的疫苗接種需考量胎兒安全。活病毒疫苗（Live-attenuated vaccines），如 MMR（麻疹、腮腺炎、德國麻疹疫苗），因存在病毒穿過胎盤感染胎兒的潛在風險，故在孕期為禁忌。相比之下，不活化流感疫苗與 Tdap（百日咳、破傷風、白喉混合疫苗）則被建議在懷孕期間接種，以提供母體及新生兒主動免疫保護。
Live virus vaccines, such as the Measles, Mumps, and Rubella (MMR) vaccine, are contraindicated during pregnancy because they pose a risk of congenital infection to the fetus. In contrast, inactivated vaccines like the influenza shot and the Tdap vaccine are considered safe and are recommended to protect both the mother and the newborn.