[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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":25},"nurse-106-1-產兒科護理學-034","nurse-106-1-maternal-pediatric-034",106,1,34,"形成妊娠中期心灼熱感（heart burn）的荷爾蒙為下列何者？",{"A":14,"B":15,"C":16,"D":17},"人類絨毛膜促性腺激素","人類胎盤泌乳激素","黃體素","雌性素","C",null,[],"本題考點為妊娠期腸胃不適的荷爾蒙機轉。依生理學,黃體素(progesterone)有鬆弛平滑肌的作用,會使下食道括約肌張力下降,加上增大的子宮上頂胃部,導致胃酸逆流而產生心灼熱感,故選C。人類絨毛膜促性腺激素(A)主要維持黃體並與早孕噁心嘔吐相關,非造成火燒心;人類胎盤泌乳激素(B)作用在拮抗胰島素、促進乳腺與胎兒營養供應;雌性素(D)促進子宮與乳腺發育,皆非鬆弛下食道括約肌的主因。","黃體素「鬆弛平滑肌」是一條可貫通多題的主線:鬆弛下食道括約肌→心灼熱;鬆弛腸道→便秘與脹氣;鬆弛輸尿管→易泌尿道感染;鬆弛血管→鼻塞與姿勢性低血壓。把黃體素想成孕期的「全身放鬆劑」,許多妊娠不適都能一併解釋。心灼熱好發於妊娠中後期,護理指導以少量多餐、避免餐後平躺為原則。",[24,26,29,31,33],{"term":16,"count":25},3,{"term":27,"count":28},"妊娠生理變化",2,{"term":30,"count":10},"下食道括約肌鬆弛",{"term":32,"count":10},"平滑肌鬆弛作用",{"term":34,"count":10},"胃酸逆流",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-maternal-pediatric-035","王女士，52 歲，最近感到下腹部有沉重感，診斷為第一度的子宮脫垂，此與下列何種骨盆腔韌帶無力有關？",35,{"webId":41,"stem":42,"number":43,"year":9,"session":28},"nurse-106-2-maternal-pediatric-051","嬰幼兒疼痛評估，不包括下列那一項？",51,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-maternal-pediatric-065","有關病童死亡的護理措施，下列何者正確？",65,107,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-108-2-maternal-pediatric-023","有關霍曼氏試驗（Homan's test）之敘述，下列何者錯誤？",23,108,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-109-2-maternal-pediatric-067","小漢 8 歲，罹患血友病（hemophilia），下列護理措施何者最適當？",67,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-021","教導產婦執行產後運動時，膝胸臥式的主要目的為何？",21,111,"2026-09-04",1788510693925]