[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-004":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":11},"nurse-109-2-產兒科護理學-004","nurse-109-2-maternal-pediatric-004",109,2,4,"懷孕期間因雌性素（estrogen）所造成的生殖系統變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"子宮頸黏液塞形成","陰道的血管增生、充血","懷孕初期子宮頸變軟","懷孕後期子宮壁變薄","D",null,[],"本題考點是懷孕期雌性素（estrogen）對生殖系統的影響，須選「錯誤」敘述。雌性素會促進子宮平滑肌增生肥大，使子宮壁在孕期整體增厚；選項D稱懷孕後期子宮壁變薄，其變薄實為胎兒長大機械性牽張所致、非雌性素作用，故為錯誤敘述、正解。選項A子宮頸腺體受雌性素刺激分泌黏液形成黏液塞，正確；選項B陰道血管增生充血（如查德威克徵象）由雌性素引起，正確；選項C懷孕初期子宮頸因血流與水分增加而變軟（古德爾徵象），正確。","雌性素在孕期是生殖系統增生的主角：促使子宮肌層細胞肥大增生、血流增加、陰道與子宮頸充血變軟、乳腺導管發育。子宮壁厚薄變化要分階段理解—孕早中期在雌性素刺激下肌層增厚，孕晚期則因胎兒與羊水撐大子宮腔，肌壁被動拉薄，這是力學牽張而非荷爾蒙直接效應，故選項D張冠李戴。相關徵象口訣：查德威克徵（陰道紫藍）、古德爾徵（子宮頸變軟）、赫加徵（子宮峽部變軟）都與雌性素促進的血流充血有關，是早期妊娠的推測性徵象。",[24,26,29,31,33],{"term":25,"count":11},"雌性素",{"term":27,"count":28},"子宮肌層增生",1,{"term":30,"count":28},"查德威克徵象",{"term":32,"count":28},"古德爾徵象",{"term":34,"count":28},"子宮壁機械性牽張",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-maternal-pediatric-005","一位孕前 BMI 為 23.1 kg\u002Fm 2 的單胞胎孕婦，有關其孕期體重之護理指導，下列何者最適當？",5,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-110-1-maternal-pediatric-021","下列何者為更年期女性的生理變化？①濾泡刺激素大量增加 ②雌性素分泌增加 ③低密度脂蛋白增加 ④陰道 pH 值下降",21,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-maternal-pediatric-035","鄭女士因骨盆腔炎症入院治療，下列敘述何者正確？",35,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-2-maternal-pediatric-073","小佳，3 歲半女童，因經常泌尿道感染而反覆入院，此次入院準備作靜脈注射腎盂攝影（intravenous pyelogram, IVP）檢查，下列護理指導之敘述，何者不適當？",73,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-maternal-pediatric-037","有關腮腺炎之照護措施，下列敘述何者錯誤？",37,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-114-1-maternal-pediatric-031","小婷，14歲，因罹患全身性紅斑性狼瘡（systemic lupus erythematosus, SLE）住院進行脈衝治療（pulse therapy），護理師提供的照護措施，下列何者不適當？",31,114,"2026-09-04",1788510717089]