[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-110-1-產兒科護理學-003","nurse-110-1-maternal-pediatric-003",110,1,3,"有關妊娠期腸胃系統的變化所造成孕婦不適的現象，下列敘述何項正確？",{"A":14,"B":15,"C":16,"D":17},"噁心與嘔吐是與胃蛋白酶分泌增加有關","膽囊排空時間延長，膽汁排出量減少","肝功能改變，如血漿白蛋白和球蛋白值上升","唾液分泌減少，若口腔衛生不佳者易患齲齒","B",null,[],"本題考點是妊娠期腸胃系統的生理變化。考點在於黃體素使全身平滑肌張力下降，膽囊收縮無力、排空時間延長，膽汁滯留濃縮，故B正確，這也是孕婦易生膽結石的原因。A錯在噁心嘔吐與人類絨毛膜促性腺激素及動情素上升有關，並非胃蛋白酶分泌增加。C錯在血液稀釋使血漿白蛋白與球蛋白值下降而非上升。D錯在動情素上升反而使唾液分泌增加（妊娠期流涎ptyalism），並非減少。掌握「黃體素鬆弛平滑肌」這條主軸，就能串起腸胃蠕動變慢、便祕與膽汁滯留等一連串變化。","黃體素（progesterone）是整段孕期腸胃變化的總開關：它鬆弛平滑肌，連帶造成下食道括約肌鬆弛（胃食道逆流、火燒心）、胃排空延遲、腸蠕動變慢（便祕、脹氣）以及膽囊排空延遲。膽汁在膽囊停留久、水分被再吸收而濃縮，膽固醇易析出結晶，故孕婦膽結石發生率上升。噁心嘔吐（morning sickness）的機轉主要對應hCG於第一孕期達高峰，並在hCG下降後多於12–16週緩解，可與此對照記憶。白蛋白下降是血漿容積擴張稀釋所致，屬相對值變化。",[24,26,28,30],{"term":25,"count":10},"黃體素鬆弛平滑肌",{"term":27,"count":10},"膽囊排空延遲",{"term":29,"count":10},"hCG與噁心嘔吐",{"term":31,"count":10},"血液稀釋與白蛋白下降",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-004","有關常見遺傳疾病之敘述，下列何項正確？",4,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-020","李女士，哺餵母乳，產後出院前表示：「我暫時不想懷孕，想跟以前一樣吃避孕藥，可以考慮使用避孕器，其他方法就不用了。」，下列敘述何者最適當？",20,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-034","有關子宮內膜癌之敘述，下列何者錯誤？",34,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-maternal-pediatric-072","有關第 1 型糖尿病（Type 1 diabetes）之敘述，下列何者正確？①主要是因為自體免疫反應，使產生胰島素的 β 細胞受到破壞 ②使用口服降血糖藥物就能治療疾病 ③疾病治療的準則中，血糖監測、藥物、飲食和運動缺一不可 ④好發族群為肥胖之青少年",72,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-016","下列何種情況適合裝置子宮內避孕器？",16,113,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-114-3-maternal-pediatric-010","王女士，G 1 P 0 ，懷孕 41 週，子宮頸口已開全。護理師等王女士出現想用力的感覺時，開始鼓勵她順著感覺向下用力，並依自己舒適的方式，發出聲音用力。有關護理師教導的這種方式，相較於傳統的閉氣用力，下列敘述何者錯誤？",10,114,"2026-09-04",1788510721582]