[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-024":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-107-1-產兒科護理學-024","nurse-107-1-maternal-pediatric-024",107,1,24,"避孕針劑是利用何種高濃度的荷爾蒙干擾精卵運送及子宮內膜發育？",{"A":14,"B":15,"C":16,"D":17},"動情素","黃體素","黃體生成素","濾泡刺激素","B",null,[],"本題考點在長效避孕針劑的荷爾蒙成分與機轉。依避孕藥理，常用避孕針劑（如 DMPA，Depo-Provera）為高劑量黃體素製劑，藉抑制腦垂體性腺激素、抑制排卵，並增稠子宮頸黏液、使子宮內膜變薄不利著床，達到干擾精卵運送與內膜發育的效果，故選 B 黃體素。A 動情素（雌激素）並非避孕針劑主成分，長效針劑屬單一黃體素配方。C 黃體生成素（LH）是腦垂體分泌、觸發排卵的內源性激素，並非外給避孕成分。D 濾泡刺激素（FSH）促濾泡發育，同為內源性性腺激素，非避孕針劑成分。","DMPA（每 3 個月肌肉注射）機轉：高濃度黃體素回饋抑制下視丘 GnRH 與腦垂體 FSH\u002FLH，壓制排卵；同時使子宮頸黏液黏稠阻精、子宮內膜萎縮不利著床。特點：高效、私密、哺乳可用；副作用含月經型態改變（點狀出血或閉經）、體重變化，長期使用需留意骨密度可逆性下降。對照：黃體素（progesterone）是內膜由增生期轉分泌期、維持妊娠的關鍵，避孕針正是以外源高劑量黃體素『欺騙』下視丘-腦垂體軸。可連結概念：黃體素避孕、DMPA、下視丘-腦垂體-性腺軸回饋、子宮頸黏液與內膜。",[24,26,29,31,33],{"term":15,"count":25},3,{"term":27,"count":28},"排卵抑制",2,{"term":30,"count":10},"避孕針劑",{"term":32,"count":10},"DMPA",{"term":34,"count":10},"性腺軸回饋",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-maternal-pediatric-025","新生兒經產道出生，首次呼吸產生之機轉過程，下列敘述何者正確？",25,{"webId":41,"stem":42,"number":43,"year":9,"session":28},"nurse-107-2-maternal-pediatric-041","下列何者是丹佛嬰幼兒發展篩檢測驗 II ( DDST II ) 的評估項目之一？",41,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-maternal-pediatric-055","有關嬰兒的心肺復甦術，下列何者正確？",55,108,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-109-2-maternal-pediatric-013","初產婦廖女士進入產房待產，足月且孕期無其他併發症，目前每 5 分鐘子宮收縮一次，每次約收縮 30 秒，沒有破水，陰道有粉色分泌物，內診發現其子宮頸變薄 80%且已擴張 3 公分，station 0。廖女士詢問是否可以下床走動，下列回應何者較適切？",13,109,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-110-2-maternal-pediatric-057","有關護理師與癌症末期病童談論有關死亡的溝通方式，下列敘述何者最適當？",57,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-maternal-pediatric-011","張女士，G 2 P 1 ，懷孕 40 週，子宮頸口擴張 8 公分，變薄 90%，如果出現宮縮強且胎頭迅速下降想用力，下列護理措施何者較不恰當？",11,112,"2026-09-04",1788510703485]