[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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":26},"nurse-110-1-產兒科護理學-035","nurse-110-1-maternal-pediatric-035",110,1,35,"下列何者不是多囊性卵巢疾病之臨床表徵？",{"A":14,"B":15,"C":16,"D":17},"雌性素分泌過多","肥胖","多毛","月經過少或無月經","A",null,[],"本題考點是多囊性卵巢症候群（PCOS）的臨床表徵辨識。PCOS 的核心病生理為高雄性素血症與慢性無排卵，考點在於分辨哪一項並非其表徵。依內分泌機轉，PCOS 以雄性素（男性素）分泌過多為特徵，而非雌性素分泌過多，故「雌性素分泌過多」不是其表徵，選 A。B 肥胖與胰島素阻抗常並存，屬典型表徵。C 多毛正是高雄性素的外顯，屬典型表徵。D 因慢性無排卵導致月經過少或無月經，屬典型表徵。故唯一非表徵者為 A。","PCOS 診斷常用 Rotterdam 準則，三項符合其二即成立：稀發或無排卵、高雄性素之臨床或生化表現、超音波見多囊樣卵巢。病生理核心是胰島素阻抗促使卵巢分泌過多雄性素，抑制濾泡成熟形成無排卵；雌性素雖因缺乏黃體素拮抗而相對偏高，但並非「分泌過多」的診斷特徵，這是本題陷阱。長期無排卵使子宮內膜持續受雌性素刺激，增加子宮內膜增生與癌變風險，可連結後續衛教重點。",[24,27,30,32],{"term":25,"count":26},"胰島素阻抗",5,{"term":28,"count":29},"多囊性卵巢症候群",2,{"term":31,"count":29},"高雄性素血症",{"term":33,"count":10},"無排卵",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-maternal-pediatric-036","鄭女士 53 歲，有關更年期之注意事項，下列敘述何者最適當？",36,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-maternal-pediatric-052","餵食母乳之新生兒，可由母乳得到何種抗體，協助其對抗水痘、單純性疱疹與流行性感冒？",52,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-maternal-pediatric-066","有關兒童心導管檢查的各腔室含氧飽和度，下列敘述何者異常？",66,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-maternal-pediatric-024","提供產後飲食衛教，教導暫時性避免食用含酒精性食物，其最主要原因為何？",24,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-maternal-pediatric-048","小妍，14 歲，被診斷為脊柱側彎（scoliosis），有關疾病特性和臨床表徵，下列敘述何者錯誤？",48,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-maternal-pediatric-042","小傑，8 歲，診斷再生不良性貧血（aplastic anemia），因白血球、紅血球及血小板下降而入院接受治療，下列護理何者最適當？",42,114,3,"2026-09-04",1788510721901]