[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-110-2-產兒科護理學-021","nurse-110-2-maternal-pediatric-021",110,2,21,"蔡女士 18 歲，表示：「我都用保險套避孕，前幾天跟我男友發生關係，忘記要用套子，可是我們不想懷孕。」，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"說明墮胎的方式與合併症，建議跟男友商量並繼續懷孕","Mifepristone（RU486）有拮抗黃體素的作用，可以用來避免懷孕","因為還不確定懷孕，建議繼續觀察，確定懷孕後再決定如何處理","在 72 小時內服用高劑量雌性素，12 小時後再服第二劑，可以用來避孕","B",null,[],"本題考點為無防護性行為後的緊急避孕。依藥理機轉,Mifepristone(RU486)具拮抗黃體素(progesterone)受體的作用,可干擾子宮內膜與著床,故可用於緊急避孕,最適當者為B。(A)個案尚未確定懷孕,即談墮胎方式與續孕不符現況需求。(C)僅建議繼續觀察會錯失緊急避孕的有效時窗(性行為後越早越有效)。(D)舊式Yuzpe法為雌性素併黃體素之複方,單以「高劑量雌性素」描述並不完整且副作用大,非最佳選擇。考點在於RU486透過抗黃體素達成事後避孕的機轉。","緊急避孕選項:levonorgestrel(72小時內,主要延遲\u002F抑制排卵)、ulipristal acetate(選擇性黃體素受體調節劑,120小時內)、mifepristone(RU486,抗黃體素)、含銅IUD(最有效,可置入避孕)。舊Yuzpe法用雌激素+黃體素,噁心明顯已少用。記憶:「越早越好,抗黃體素RU486」。臨床上越早服用效果越佳。可連結:黃體素受體、排卵抑制、著床機轉、含銅IUD緊急避孕。",[24,27,29,31,33],{"term":25,"count":26},"緊急避孕",1,{"term":28,"count":26},"Mifepristone(RU486)",{"term":30,"count":26},"拮抗黃體素",{"term":32,"count":26},"Yuzpe法",{"term":34,"count":26},"避孕時窗",[36,40,45,49,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-maternal-pediatric-022","有關新生兒飢餓的暗示行為，下列敘述何者錯誤？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"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":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-maternal-pediatric-052","生理徵象的改變為評估疼痛的重要指標之一，下列何種徵象與疼痛較無直接關係？",52,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-112-3-maternal-pediatric-010","有關潛伏期產程延長且母胎無異常的待產婦照護，下列何者較不適當？",10,112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-1-maternal-pediatric-014","下列何者最適合採用泌乳期無月經法（LAM）作為避孕方法？",14,114,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-115-2-maternal-pediatric-008","影響分娩的因素中，包含母體骨盆及胎頭徑線。下列敘述何者錯誤？",8,115,"2026-09-04",1788510729797]