[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-022":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-109-1-產兒科護理學-022","nurse-109-1-maternal-pediatric-022",109,1,22,"有關哺餵母乳婦女產後排卵與月經之生理變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"泌乳素抑制濾泡刺激素而抑制排卵","哺餵母乳婦女子宮復舊時，月經也差不多恢復","月經延後發生，表示排卵也延後","純哺餵母乳會延後排卵","D",null,[],"本題考點在於哺餵母乳對產後排卵與月經恢復的內分泌影響。嬰兒吸吮刺激促使泌乳素持續分泌，泌乳素抑制下視丘性腺激素釋放與 FSH、LH 作用，進而抑制卵巢濾泡發育，因此純哺餵母乳會延後排卵與月經恢復，故 D 正確。A 泌乳素確會抑制排卵，但機轉非直接「抑制濾泡刺激素」這單一路徑，敘述不精確，故錯。B 子宮復舊約於產後 6 週完成，但哺乳婦女月經常延後更久，時程不一致，故錯。C 月經延後不必然代表排卵同步延後，排卵可能先於首次月經，兩者不等同，故錯。核心在辨識純母乳哺餵透過泌乳素延後排卵。","哺乳性無月經（lactational amenorrhea）機轉：吸吮→泌乳素上升並抑制促性腺激素釋放素（GnRH），連帶抑制 FSH\u002FLH 與濾泡成熟。其避孕效益（LAM）須同時滿足：產後六個月內、純親餵、且月經尚未恢復。因排卵可能早於首次月經，故不能以「還沒來月經」視為絕對安全。記憶：「勤親餵→泌乳素高→排卵晚」。",[24,27,29,31,33],{"term":25,"count":26},"哺乳性無月經",2,{"term":28,"count":26},"泌乳素",{"term":30,"count":10},"GnRH 抑制",{"term":32,"count":10},"濾泡刺激素",{"term":34,"count":10},"排卵延後",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-maternal-pediatric-023","有關產後泌尿系統的變化，下列敘述何者錯誤？",23,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-109-2-maternal-pediatric-039","林女士 22 歲，因外陰部搔癢並有泡沫狀、黃綠色及有異味的陰道分泌物，內診時可見子宮頸上皮有草莓狀紅點，最有可能是下列何種病原感染？",39,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-maternal-pediatric-053","張小妹，妊娠 28 週出生，體重 960 公克，有關早產兒的特徵及照護，下列敘述何者正確？",53,110,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-111-2-maternal-pediatric-011","陳女士，產後 1 小時後評估發現其子宮位置於臍上 2 指且偏向右側，其最有可能的原因為何？",11,111,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-112-2-maternal-pediatric-055","黃小妹為 35 週出生的早產兒，罹患高膽紅素血症（Hyperbilirubinemia），有關傳統照光機執行照光治療的護理措施，下列敘述何者錯誤？",55,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-maternal-pediatric-019","下列何項護理措施較無法改善新生兒溢奶的狀況？",19,113,3,"2026-09-04",1788510713275]