[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-023":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-023","nurse-110-1-maternal-pediatric-023",110,1,23,"有關母乳哺餵對母親的影響，下列護理指導何者正確？",{"A":14,"B":15,"C":16,"D":17},"刺激腦下垂體前葉分泌催產素","停經前罹患卵巢癌的機率較低","因鈣質流失易造成母親中年期骨質疏鬆症","對月經來潮時間沒有影響","B",null,[],"本題考點是母乳哺餵對母親的健康影響。考點在於流行病學證據顯示哺乳可降低母親未來罹患乳癌與卵巢癌的機率，故B「停經前罹患卵巢癌的機率較低」正確。A錯在哺乳時嬰兒吸吮刺激的是腦下垂體後葉分泌催產素（促噴乳與子宮收縮）、前葉分泌泌乳素（促泌乳），選項將催產素誤植為前葉分泌，張冠李戴。C錯在哺乳雖暫時動用鈣質，但斷奶後骨密度可回復甚至更佳，並不會因此造成中年骨質疏鬆。D錯在哺乳期高濃度泌乳素會抑制排卵、延遲月經來潮（哺乳性停經），對月經時間有明顯影響。辨明泌乳與噴乳兩激素的來源與作用是解題核心。","哺乳的荷爾蒙雙軸：吸吮刺激經神經傳入下視丘，前葉泌乳素（prolactin）負責製造乳汁、並抑制促性腺激素釋放而延遲排卵造成哺乳性停經（可作暫時性避孕，即LAM法但條件嚴格）；後葉催產素（oxytocin）負責噴乳反射並促進產後子宮收縮復舊、減少產後出血。長期效益方面，累積哺乳月數與乳癌、卵巢癌風險下降呈劑量反應關係，機轉與降低終生排卵次數及動情素暴露有關。骨質在哺乳期短暫下降屬可逆的生理調節，斷奶後回補，並非骨鬆成因。",[24,26,28,30],{"term":25,"count":10},"泌乳素前葉泌乳",{"term":27,"count":10},"催產素後葉噴乳",{"term":29,"count":10},"哺乳性停經",{"term":31,"count":10},"哺乳降低卵巢癌乳癌風險",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-maternal-pediatric-024","王女士 G 1 P 1 ，陰道生產產後第 3 天，主訴感覺疲倦、失眠、緊張、過於敏感，有時會不由自主的掉眼淚。她目前最可能的情況為何？",24,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-maternal-pediatric-040","王女士 26 歲，結婚 2 年，因性交疼痛令其十分困擾而就診，下列護理措施何者錯誤？",40,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-054","早產兒口、鼻、氣管內管分泌物多，必要時應予抽吸，下列敘述何者正確？",54,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-maternal-pediatric-012","張女士，G 1 P 0 ，由先生陪同待產，出現哭叫打罵情形，先生已陪產一天，出現疲憊不堪情形，詢問護理師他該怎麼辦，下列回應何者最不恰當？",12,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-maternal-pediatric-036","有關高膽紅素血症新生兒的護理措施，下列何者最適當？",36,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-030","為 2 歲患有右側中耳炎幼童滴耳藥，下列敘述何者正確？",30,114,3,"2026-09-04",1788510721801]