[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-035":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-035","nurse-109-1-maternal-pediatric-035",109,1,35,"有關萎縮性陰道炎之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常見於更年期後或卵巢切除婦女","因黃體素缺乏使陰道黏膜萎縮、上皮變薄","陰道酸鹼度增高有利於其他菌種生長","主要症狀為陰道分泌物、外陰搔癢與刺痛","B",null,[],"本題考點在於萎縮性陰道炎的病因荷爾蒙。依生殖內分泌,萎縮性陰道炎的根本原因是雌性素(動情素)缺乏,使陰道黏膜萎縮、上皮變薄、肝醣減少導致乳酸桿菌減少、陰道pH上升,因此B敘述「因黃體素缺乏」為錯誤,應為動情素缺乏。A正確,好發於更年期後或卵巢切除、雌性素低下的婦女。C正確,肝醣減少使乳酸生成下降,陰道酸鹼度增高(偏鹼)利於其他致病菌生長。D正確,主要症狀為陰道分泌物、外陰搔癢與刺痛乾澀。因此錯誤選項為B。","陰道健康仰賴動情素:動情素→上皮增厚、肝醣豐富→乳酸桿菌分解肝醣產乳酸→維持酸性(pH約3.8–4.5)抑制雜菌。更年期後動情素驟降,此保護鏈瓦解,黏膜變薄脆弱、pH升高易反覆感染。治療常以局部動情素補充改善。辨析核心:別把「黃體素」與「動情素」混淆,萎縮性陰道炎、假性月經、更年期熱潮紅等症狀主軸都是「動情素」變化。可連結更年期泌尿生殖症候群(GSM)一併複習。",[24,27,29,31],{"term":25,"count":26},"萎縮性陰道炎",2,{"term":28,"count":10},"動情素缺乏",{"term":30,"count":10},"陰道pH上升",{"term":32,"count":10},"乳酸桿菌與肝醣",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-maternal-pediatric-036","有關不孕症夫妻性生活的護理指導，下列敘述何者錯誤？",36,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-maternal-pediatric-052","下列何者不屬於新生兒篩檢的項目？",52,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-maternal-pediatric-066","有關胎兒出生後的心臟血管變化，下列敘述何者錯誤？",66,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-maternal-pediatric-024","有關產後子宮復舊（uterine involution），下列敘述何者正確？",24,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-maternal-pediatric-068","有關血友病（Hemophilia）兒童的居家照護指導，下列敘述何者最為正確？",68,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-maternal-pediatric-032","3 歲的小杰生病住進了加護病房第 4 天，小杰顯得安靜、沉默以及對病房的事物不感興趣，其分離焦慮是處於那個時期？",32,113,3,"2026-09-04",1788510713391]