[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-maternal-pediatric-037":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-107-1-產兒科護理學-037","nurse-107-1-maternal-pediatric-037",107,1,37,"有關子宮肌瘤處置之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"肌瘤切除術後不會有月經","可服用口服避孕藥以抑制及平衡女性荷爾蒙","肌瘤切除術後需補充女性荷爾蒙","全子宮切除術是最好的處置","B",null,[],"本題考點在子宮肌瘤（受女性荷爾蒙影響的良性平滑肌瘤）的處置正確性。依婦科治療原則，子宮肌瘤生長受動情素刺激，臨床可用低劑量口服避孕藥等荷爾蒙調節以抑制與平衡荷爾蒙、緩解經血過多等症狀，故 B 正確。A 錯在肌瘤切除術（myomectomy）僅摘除肌瘤、保留子宮與內膜，術後仍有月經。C 錯在肌瘤切除保留卵巢與子宮，術後不需補充女性荷爾蒙；補充荷爾蒙反而可能刺激殘餘肌瘤。D 錯在全子宮切除雖為根治法之一，但並非所有個案『最好』的處置，需依年齡、生育需求與症狀個別化，過度絕對化即不正確。","子宮肌瘤為動情素依賴性良性腫瘤，故好發於生育年齡、停經後多萎縮。治療階梯依症狀與生育計畫個別化：無症狀者追蹤；症狀者藥物（避孕藥、黃體素、GnRH 促效劑術前縮小體積並改善貧血）；欲保留生育者行肌瘤切除術；症狀嚴重且無生育需求者可考慮子宮切除或子宮動脈栓塞。記憶：肌瘤＝『吃動情素長大』，故治療策略常圍繞抑制荷爾蒙；切除肌瘤≠切子宮，月經仍在。可連結概念：子宮肌瘤動情素依賴、肌瘤切除 vs 子宮切除、GnRH 促效劑、個別化治療。",[24,26,28,30,32],{"term":25,"count":10},"子宮肌瘤",{"term":27,"count":10},"動情素依賴性",{"term":29,"count":10},"肌瘤切除術",{"term":31,"count":10},"荷爾蒙治療",{"term":33,"count":10},"個別化處置",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-maternal-pediatric-038","全子宮切除手術之術前腸道準備，下列何者不恰當？",38,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-maternal-pediatric-054","根據兒童及少年福利與權益保障法（2015），醫事人員發現兒童遭受猥褻行為或性交，需於多久時間內通報主管機關？",54,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-108-1-maternal-pediatric-068","有關氧氣治療的敘述，下列何者正確？",68,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-maternal-pediatric-026","有關產後生殖器官的復舊過程，下列何者正確？",26,109,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-110-2-maternal-pediatric-070","化學治療期間血液檢查結果，絕對嗜中性白血球（absolute neutrophil count, ANC）數目為 320\u002Fmm 3 ，依據檢查結果，下列護理指導何者較適當？",70,110,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-maternal-pediatric-024","吳女士，G 1 P 1 ，產後進行親子同室，其先生抱起寶寶，眼神專注凝視寶貝，並輕聲細語說：「我是爸爸，叫爸爸。」下列描述父親與新生兒發展依附之行為，何者最適當？",24,112,"2026-09-04",1788510703614]