[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-產兒科護理學-007","nurse-110-1-maternal-pediatric-007",110,1,7,"懷孕婦女詢問為什麼她臉頰、額頭最近開始出現一些褐色斑點，護理師以下解釋，何者正確？",{"A":14,"B":15,"C":16,"D":17},"這是一種臉部結締組織擴張所致","這是因臉部的血管擴張、增生所致","臉部皮下組織代謝增加所致","因腦下垂體分泌的黑色素刺激素增加","D",null,[],"本題考點是妊娠期皮膚色素沉著的成因。考點在於孕婦臉頰、額頭出現的褐色斑塊即孕斑（黃褐斑，chloasma／melasma），其成因是腦下垂體中間部分泌的黑色素細胞刺激素（MSH）增加，加上動情素與黃體素促使黑色素細胞活性上升，故D正確。A錯在此非結締組織擴張所致。B錯在血管擴張增生對應的是蜘蛛痣或臉部潮紅，而非褐色斑。C錯在皮下組織代謝增加並非色素斑的機轉。理解「色素沉著＝黑色素刺激素上升」這條主線即可一併說明孕斑、乳暈變黑與腹中線黑色素沉著。","妊娠期高濃度動情素與黃體素會刺激黑色素細胞刺激素（MSH）分泌並增加黑色素細胞活性，造成全身多處色素沉著：臉部孕斑、乳頭乳暈變深、腹部正中線變黑成黑線（linea nigra）、外陰色素加深。孕斑受日曬加重，衛教重點在防曬；多數於產後隨荷爾蒙下降數月內淡化。需與血管性變化（蜘蛛痣、手掌紅斑）區分，後者源自動情素造成的血管擴張增生，兩者機轉不同但同受動情素驅動。",[24,26,28,30],{"term":25,"count":10},"黑色素刺激素MSH",{"term":27,"count":10},"孕斑chloasma",{"term":29,"count":10},"動情素與色素沉著",{"term":31,"count":10},"黑線linea nigra",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-008","有關雷奧波德式操作法（Leopold’s maneuvers）之敘述，下列何者正確？",8,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-024","白女士 G 2 P 2 ，陰道生產後一週，此時惡露的評估正常為何？①白色 ②粉紅色 ③1 小時內產墊上的血液約為 5 公分 ④30 分鐘浸溼整片產墊",24,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-038","王女士，已婚，疑似有骨盆腔炎，有關評估其臨床徵候的敘述，下列何者正確？",38,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-maternal-pediatric-076","有關先天性膽道閉鎖的敘述，下列何者正確？",76,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-020","有關羊水栓塞（amniotic fluid embolism）之相關敘述，下列何者錯誤？",20,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-014","有關母乳哺育，下列敘述何者不適當？",14,114,3,"2026-09-04",1788510721620]