[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-106-1-產兒科護理學-039","nurse-106-1-maternal-pediatric-039",106,1,39,"有關經前症候群的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"在月經週期的黃體期，產生生理、心理及行為的週期性變化","子宮內膜分泌之前列腺素、黃體素及留鹽激素過多所導致","與是否有潛在性婦科疾病有關","因催乳激素分泌不足所引起","A",null,[],"本題考點為經前症候群(PMS)的定義與特徵。依定義,PMS 是在月經週期的「黃體期」(排卵後至月經來潮前)出現週期性的生理、心理與行為變化,月經來後即緩解,故選A正確。B 錯在把病因單一歸因於 prostaglandin、黃體素及留鹽激素「過多」,PMS 成因複雜且與血清素等神經傳導物質波動有關,並非單純某荷爾蒙過量;C 錯在 PMS 是功能性週期變化,與是否有潛在婦科疾病並無必然關聯;D 錯在其機轉並非催乳激素分泌不足所致,屬臆測敘述。","PMS 的辨識關鍵在「時序」:症狀限於黃體期、隨月經來潮消退,這種週期性正是與其他情緒或婦科疾病的鑑別點。若情緒症狀嚴重到影響功能則稱經前不悅症(PMDD)。目前主流機轉指向對正常荷爾蒙波動的敏感反應與血清素調節異常,而非單一荷爾蒙過多或不足,故 B、D 的單因論述皆為陷阱。",[24,26,28,30,32],{"term":25,"count":10},"經前症候群(PMS)",{"term":27,"count":10},"黃體期",{"term":29,"count":10},"週期性生理心理變化",{"term":31,"count":10},"血清素調節",{"term":33,"count":10},"經前不悅症(PMDD)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-maternal-pediatric-040","下列何者為子宮頸癌的危險因子？",40,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-106-2-maternal-pediatric-056","鐘小弟，妊娠週數 31 週又 5 天出生，體重 1560 公克，現出生後第三天開始由口餵食，下列何者不是他在進食過程中的壓力性行為線索（feeding stress cues）？",56,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-maternal-pediatric-070","小虹，1 歲 2 個月，因細支氣管發炎住院，聽診下肺葉痰音重，醫師囑予 combivent 蒸氣吸入，及執行胸腔物理治療（CPT）。有關胸腔物理治療注意事項，下列何者正確？",70,107,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-108-2-maternal-pediatric-028","護理師執行產後新生兒立即性護理時，發現劉小弟頭頂部有一局部軟組織腫脹，觸診組織鬆軟且外緣界線不清楚，下列敘述何者正確？",28,108,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-109-2-maternal-pediatric-072","小曄 3 個月大，因為唇裂（cleft lip）而入院，經醫師進行唇裂修補術後返回病室，有關手術後護理，下列敘述何者錯誤？",72,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-maternal-pediatric-026","新生兒出生後 1 分鐘，哭聲宏亮，呼吸規則，心跳 128 次／分，四肢略屈曲，身體呈粉紅色，四肢為藍色，阿帕嘉計分（Apgar score）為幾分？",26,111,"2026-09-04",1788510693992]