[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-024","nurse-109-1-maternal-pediatric-024",109,1,24,"胎盤娩出後，腦下垂體前葉分泌何者使乳房開始分泌乳汁？",{"A":14,"B":15,"C":16,"D":17},"催產素","泌乳素","動情素","黃體素","B",null,[],"本題考點在於腦下垂體前葉與後葉在泌乳中的分工。依內分泌生理,乳汁的「製造」由腦下垂體前葉分泌的泌乳素(Prolactin)刺激乳腺腺泡合成乳汁,胎盤娩出後動情素與黃體素驟降,解除對泌乳素的抑制,乳汁分泌得以啟動,故選B。A催產素(Oxytocin)由腦下垂體「後葉」分泌,負責的是射乳反射(讓乳汁排出),而非製造乳汁,且非前葉激素。C動情素與D黃體素在孕期反而抑制泌乳素作用,是使乳汁製造受抑的荷爾蒙,並非啟動泌乳者。因此由前葉分泌並啟動乳汁製造的正解為B泌乳素。","泌乳的兩把鑰匙要分清:製造靠泌乳素(前葉),排出靠催產素(後葉);催產素同時引發子宮收縮,故哺乳有助子宮復舊。孕期高濃度動情素\u002F黃體素會「卡住」泌乳素的效應,胎盤一娩出、這兩者驟降,泌乳素即可作用,這也是產後2至3天才漲奶的原因。口訣:「前葉造奶(Prolactin)、後葉射奶(Oxytocin)」。可連結哺乳促進子宮收縮、親子肌膚接觸促進射乳反射等產後護理概念。",[24,27,29,31],{"term":25,"count":26},"腦下垂體前葉",2,{"term":28,"count":26},"動情素黃體素驟降",{"term":30,"count":10},"泌乳素 Prolactin",{"term":32,"count":10},"催產素射乳反射",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-025","有關 RU486（mifepristone）的臨床治療，下列何者錯誤？",25,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-maternal-pediatric-041","小畢 3 歲，因為經常出現咬手、打頭、撞牆行為而就醫，醫師診斷有自閉症，護理師指導父母有關自閉症的兒童照護，下列何者錯誤？",41,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-055","小傑，2 歲，罹患重度海洋性貧血（Thalassemia），需反覆入院輸血。母親為印尼裔回教徒的新住民，中文溝通有限，有關以家庭為中心的護理計畫，下列敘述何者最適當？",55,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-013","王女士，G 1 P 0 ，懷孕 24 週，常規的產前檢查正常。詢問護理師：「我有時會覺得肚子繃緊，但不覺得痛。繃緊感有時候幾秒鐘就過去，通常不超過 1 分鐘，沒有其他不舒服，這樣是正常嗎？」下列的回答，何者最適當？",13,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-maternal-pediatric-057","小章，足月兒，出生即確診為後天免疫缺乏症候群（AIDS），若病況穩定需接種疫苗時，下列敘述何者錯誤？",57,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-021","林女士，入院待產，醫師內診時發現臍帶脫垂，下列處置何者錯誤？",21,113,3,"2026-09-04",1788510713283]