[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-107-1-產兒科護理學-004","nurse-107-1-maternal-pediatric-004",107,1,4,"有關孕期婦女之生理變化，下列何者為異常？",{"A":14,"B":15,"C":16,"D":17},"臉頰及鼻子產生黃褐斑（chloasma）","胸部、頸部出現放射狀小紅點，即血管蜘蛛痣（vascular spider nevi）","心跳速率平均每分鐘增加 10～15 次","陰道分泌物量增加，顏色由白色轉為黃綠色","D",null,[],"本題考點為孕期正常生理變化與異常徵象的辨別。正常陰道分泌物在雌激素影響下量增多、呈白色或透明,若「顏色由白色轉為黃綠色」則提示感染(如細菌性或滴蟲性陰道炎),屬異常,故D為異常。A臉頰鼻子的黃褐斑(chloasma,孕斑)因雌激素刺激黑色素增加,屬正常;B血管蜘蛛痣因雌激素上升使小血管擴張,屬正常;C因血容量增加,心跳平均每分鐘增加10–15次,屬正常代償。三者皆為孕期常見的生理適應。","孕期雌激素與黃體素大幅上升驅動多項變化:皮膚色素沉著(孕斑、乳暈變深、腹中線)、血管蜘蛛痣與手掌紅斑、血容量增加約40–50%致生理性貧血與心跳加快。陰道在雌激素作用下呈酸性、分泌物增多(白帶)有助防禦,但顏色轉黃綠、有異味或搔癢即為感染警訊。判別關鍵:量多而色白為正常適應,變色有味為病理徵象。",[24,27,29,31,33],{"term":25,"count":26},"陰道分泌物",3,{"term":28,"count":10},"孕期生理變化",{"term":30,"count":10},"黃褐斑",{"term":32,"count":10},"血管蜘蛛痣",{"term":34,"count":10},"心跳代償",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-maternal-pediatric-005","王女士，孕前 BMI 值為 24，目前懷孕 25 週，體重較孕前增加 3 公斤，有關護理師的回應，下列何者較為適當？",5,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-107-2-maternal-pediatric-021","陰道生產剛結束的婦女若有尿瀦留的現象，最主要的原因為何？",21,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-108-1-maternal-pediatric-035","Tamoxifen（Nolvadex）可抑制內生性雌激素作用，以有效降低乳癌的復發，若長期服用此藥物，護理師需要評估下列那些副作用？①血糖過低 ②鈣離子過低 ③噁心嘔吐 ④更年期症狀 ⑤末梢水腫",35,108,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-109-1-maternal-pediatric-073","罹患開放性動脈導管的病童，較不會出現下列何種症狀？",73,109,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-110-2-maternal-pediatric-037","有關更年期婦女的護理指導，下列何者不適當？",37,110,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-111-2-maternal-pediatric-071","花花，3 歲，罹患癌症需住院接受化學藥物治療。目前血液檢查結果為：白血球：1,200\u002Fmm 3 ，其中多形核白血球（segmented neutrophi1）：11%、帶狀白血球（band neutrophil）：1%、單核球（monocyte）： 2%、淋巴球（lymphocyte）：37%。請問其絕對嗜中性白血球（absolute neutrophi1 count, ANC）數量為何？",71,111,"2026-09-04",1788510703273]