[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-021":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-021","nurse-110-1-maternal-pediatric-021",110,1,21,"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",{"A":14,"B":15,"C":16,"D":17},"①③","②③","①④","③④","A",null,[],"本題考點是女性更年期的生理變化。考點在於更年期卵巢功能衰退、動情素（雌性素）分泌下降，失去對腦下垂體的負回饋抑制，故濾泡刺激素（FSH）大量增加；動情素下降也使脂質代謝改變、低密度脂蛋白（LDL）上升，心血管風險增加，故正確組合為①③，選A。②錯在動情素分泌是減少而非增加。④錯在動情素下降使陰道上皮萎縮、肝醣減少、乳酸生成下降，陰道pH值上升（偏鹼）而非下降，故易生萎縮性陰道炎與感染。掌握「動情素下降→FSH代償上升＋LDL上升＋陰道pH上升」這條主線可一次解決全題。","更年期核心是卵巢儲備耗竭、動情素驟降所引發的連鎖反應：負回饋解除使FSH與LH升高（FSH升幅更明顯，是評估卵巢功能的指標）；動情素的心血管保護消失，LDL上升、HDL下降，冠心病與骨質流失風險增加（蝕骨細胞活性上升致骨質疏鬆）；泌尿生殖道萎縮，陰道乳酸桿菌減少、pH由酸轉鹼，防禦力下降；血管舒縮不穩定造成熱潮紅與盜汗。把「動情素下降」當總開關，各系統變化即可推導，避免把個別數字硬背混淆。",[24,26,28,30],{"term":25,"count":10},"動情素下降負回饋解除",{"term":27,"count":10},"濾泡刺激素FSH上升",{"term":29,"count":10},"低密度脂蛋白LDL上升",{"term":31,"count":10},"陰道pH值上升",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-022","丁女士 30 歲，第二胎，現為產後第二天，其宮底位於臍下一指，惡露呈紅色量中，主訴昨夜睡眠差且感宮縮疼痛不適，當新生兒推出餵奶時，表示想休息並拒絕餵奶，此行為正確的解釋是：",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-038","下列何者不是預防新生兒臍帶感染的護理措施？",38,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-052","有關病童約束的原則，下列何者錯誤？",52,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-010","護理師教導孕婦在家每日自行監測胎動，下列何者最適當？",10,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-034","有關早產兒常發生的問題，下列敘述何者錯誤？",34,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-028","小旭，1 歲 3 個月，阿嬤照顧，護理師予事故傷害之預防指導，下列敘述何者最適當？",28,114,3,"2026-09-04",1788510721774]