[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":11},"nurse-108-2-產兒科護理學-003","nurse-108-2-maternal-pediatric-003",108,2,3,"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？",{"A":14,"B":15,"C":16,"D":17},"這是懷孕期荷爾蒙變化造成皮膚色素沈著，約在生產後會逐漸變淡","這是懷孕常見的妊娠紋，約在生產後 2～3 個月會消失","有可能是胎兒異常的徵兆，建議進一步做染色體核型分析","需儘快到整型外科或皮膚科進行去斑處理，否則容易留下永久的色素沈著","A",null,[],"本題考點是妊娠期腹部正中線色素沈著（linea nigra，妊娠黑線）的成因與衛教。依妊娠生理，胎盤分泌的雌激素與黑色素細胞刺激素（MSH）增加，使黑色素細胞活性上升，造成腹中線、乳暈、臉部（黑斑）等處色素加深，屬正常變化，多於產後隨荷爾蒙回復而逐漸變淡，故選 A。B 錯在把色素線誤稱為「妊娠紋」，妊娠紋是真皮膠原斷裂造成的條紋、不會完全消失，兩者機轉不同。C 錯在色素線與胎兒染色體異常無關，屬過度診斷的錯誤衛教。D 錯在此為生理現象不需去斑處置，且帶有不當臨床指令語氣。","妊娠色素沈著三部曲：linea nigra（腹中線）、melasma／chloasma（孕斑，兩頰對稱）、乳暈與外陰加深，共同機轉為雌激素、黃體素與 MSH 促進黑色素生成。對比記憶：色素沈著＝顏色變深、可逆；妊娠紋（striae gravidarum）＝皮膚張力使膠原纖維斷裂、留白色或銀白瘢痕、不可逆。延伸：日曬會加重孕斑，故產後淡化期避免強烈紫外線有助恢復。",[24,26,29,31],{"term":25,"count":11},"雌激素",{"term":27,"count":28},"妊娠黑線 linea nigra",1,{"term":30,"count":28},"黑色素細胞刺激素 MSH",{"term":32,"count":28},"妊娠紋 striae gravidarum",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-004","有關生產教育的觀念，下列何者正確？①由醫護團隊主導生產過程，減少孕婦生產壓力 ②讓孕婦因應懷孕與分娩照護的過程 ③朝向以家庭為中心的照護 ④強調一定不要使用藥物性減痛方法",4,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-maternal-pediatric-020","有關待產的麻醉藥物減痛之敘述，下列何者正確？",20,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-maternal-pediatric-034","王女士接受試管嬰兒治療，今日抽血驗孕報告為未懷孕，王女士表示自己懷孕症狀明顯，一定是檢驗錯誤，下列護理措施何者最適當？",34,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-maternal-pediatric-072","小花，3 個月大，診斷為先天性甲狀腺功能低下，有關其疾病之臨床表徵，下列敘述何者正確？",72,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-maternal-pediatric-036","郭先生的精液分析結果如下：精液量約 7 c.c.，精子濃度 800 萬\u002FmL，射精後 42%的精蟲仍具活動力，正常型態的精蟲為 50%。有關其結果之敘述，下列何者正確？",36,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-maternal-pediatric-020","王女士，G1P0，妊娠38週，因早期破水入院待產，待產時宮縮頻率及強度均不好，破水30小時後新生兒才娩出。產後第2天出現下列症狀：體溫38.5～39.5℃、惡露呈紅色有惡臭味、子宮底高度臍平、子宮軟、有頭痛及失眠、下腹部壓痛但無反彈性壓痛。上述王女士的身體狀況，其臨床症狀敘述下列何者正確？",113,"2026-09-04",1788510706895]