[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-108-2-產兒科護理學-002","nurse-108-2-maternal-pediatric-002",108,2,"下列那一種細菌或病毒感染，為罹患子宮頸癌的高危險群？",{"A":13,"B":14,"C":15,"D":16},"梅毒螺旋體","奈瑟氏淋病雙球菌","疱疹病毒","人類乳突狀病毒（HPV）","D",null,[],"本題考點是子宮頸癌的主要致病病原。依流行病學與病毒學證據，人類乳突狀病毒（HPV，尤其第 16、18 型）的持續感染是子宮頸鱗狀上皮化生為癌前病變（CIN）乃至侵襲癌的必要因子，故高危險群為 HPV 感染，選 D。A 梅毒螺旋體造成的是梅毒（下疳、全身性感染），與子宮頸癌無因果關係。B 奈瑟氏淋病雙球菌引起淋病與骨盆腔發炎，屬性傳染病但非致癌病原。C 疱疹病毒（HSV-2）過去曾被懷疑為共病因子，但目前證據不支持其為子宮頸癌的主因，真正關鍵仍是 HPV。","機轉：高危型 HPV 的 E6、E7 致癌蛋白分別使抑癌基因 p53 降解、使 Rb 失活，解除細胞週期煞車，導致不受控增殖與基因不穩定。臨床連結：子宮頸抹片（Pap smear）篩檢異常上皮，HPV 疫苗（二價／四價／九價）針對高危型提供一級預防。記憶：子宮頸癌＝HPV「16、18」為首惡，疫苗＋抹片雙管防。",[23,25,28,30],{"term":24,"count":10},"子宮頸抹片篩檢",{"term":26,"count":27},"人類乳突狀病毒 HPV",1,{"term":29,"count":27},"子宮頸上皮內贅瘤 CIN",{"term":31,"count":27},"E6\u002FE7 致癌蛋白",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-2-maternal-pediatric-003","李女士，G 1 P 0 ，懷孕 25 週，請教護理師：「我身體上從肚臍到會陰部有一條褐色的線，這正常嗎？什麼時候會消失？」，護理師的回答，下列何者為宜？",3,{"webId":38,"stem":39,"number":40,"year":41,"session":27},"nurse-109-1-maternal-pediatric-019","林女士 G 2 P 2 ，採陰道分娩，產後第 1 天，觸診子宮偏軟，位置與肚臍同高並偏向右側，此時優先的護理評估項目為何？",19,109,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-109-2-maternal-pediatric-033","有關懷孕期 TORCH 感染的項目，下列何者錯誤？",33,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-110-2-maternal-pediatric-071","小名，14 歲，因左膝尖銳性疼痛、腫脹入院，醫師診斷為骨肉瘤（osteosarcoma）並進行截肢手術，下列護理措施何者不適當？",71,110,{"webId":52,"stem":53,"number":54,"year":55,"session":27},"nurse-112-1-maternal-pediatric-035","承上題，超音波掃描確認胎兒心跳正常，此時最適當的照護措施為何？",35,112,{"webId":57,"stem":58,"number":40,"year":59,"session":27},"nurse-113-1-maternal-pediatric-019","下列何者為評估男性新生兒皮膚飽和度的最佳部位？",113,"2026-09-04",1788510706880]