[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-026":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-106-1-產兒科護理學-026","nurse-106-1-maternal-pediatric-026",106,1,26,"哺餵母乳使月經較延後之原因為何？",{"A":14,"B":15,"C":16,"D":17},"刺激泌乳激素分泌，抑制動情素與黃體生成激素","刺激動情素與黃體生成激素，進而刺激泌乳激素","刺激泌乳激素與動情素分泌，抑制黃體生成激素","刺激黃體生成激素與泌乳激素，抑制動情素分泌","A",null,[],"本題考點為哺乳造成月經延後的內分泌機轉。依泌乳生理,嬰兒吸吮刺激下視丘與腦下垂體使泌乳激素(prolactin)分泌增加,泌乳激素會抑制性腺激素釋放,連帶抑制動情素與黃體生成激素(LH),使排卵與月經延後,故選A。選項B、C、D皆將動情素、黃體生成激素的方向敘述為受刺激或部分受刺激,與泌乳激素高張時性腺軸受抑制的機轉相反,故不正確。此即哺乳性無月經(lactational amenorrhea)的原理。","機轉鏈:吸吮→下視丘→腦下垂體前葉泌乳激素上升→抑制促性腺激素釋放素(GnRH)→FSH、LH與動情素下降→排卵被抑制→月經延後。這解釋哺乳性無月經,但因排卵可能在月經恢復前先出現,單靠哺乳並非可靠避孕,呼應前面哺乳期避孕的考點。",[24,27,29,31],{"term":25,"count":26},"哺乳性無月經",2,{"term":28,"count":10},"泌乳激素prolactin",{"term":30,"count":10},"黃體生成激素LH",{"term":32,"count":10},"動情素抑制",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-027","新生兒出生 5 分鐘時，護理師評估 Apgar score，除評估心跳、呼吸、膚色及刺激反射外，尚須評估新生兒的那一部分？",27,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-maternal-pediatric-043","幼兒長期大量接觸鉛，導致鉛中毒所產生的合併症，下列那一項最為嚴重且會造成不可逆的傷害？",43,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-maternal-pediatric-057","有關自閉症兒童的特徵，下列敘述何者錯誤？",57,107,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-maternal-pediatric-015","有關分娩時經產婦的子宮頸變化之敘述，下列何者正確？",15,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-2-maternal-pediatric-059","林小妹 4 歲，常用手抓屁股，疑有蟯蟲感染，將進行透明膠帶試驗（scotch tape test），最合適的蟲卵採集時間為何？",59,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-013","有關待產時裝置胎兒監測器的注意事項，下列何者錯誤？",13,111,"2026-09-04",1788510693812]