[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-maternal-pediatric-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-2-產兒科護理學-039","nurse-110-2-maternal-pediatric-039",110,2,39,"下列何者最可能與原發性月經疼痛相關？",{"A":14,"B":15,"C":16,"D":17},"前列腺素","子宮肌瘤","卵巢腫瘤","經血量過多","A",null,[],"本題考點為原發性痛經的致病生理。依子宮內膜於月經期釋放前列腺素(prostaglandin，尤其PGF2α)促使子宮平滑肌強烈收縮與缺血的機轉，前列腺素為原發性月經疼痛最相關因子，故選A。子宮肌瘤(B)、卵巢腫瘤(C)、經血量過多(D)屬器質性病灶，引起的是續發性痛經，並非原發性痛經的主要機轉。判斷關鍵在區分原發(功能性、前列腺素)與續發(有病灶)痛經。","原發性痛經無骨盆器質病變，常見於初經後1至2年開始，隨排卵週期出現。PGF2α使子宮收縮、血管收縮致缺血性疼痛，故COX抑制劑(NSAIDs)與複方口服避孕藥(抑制排卵、減少內膜前列腺素)有效。續發性痛經常見病因：子宮內膜異位症、腺肌症、肌瘤、骨盆腔感染。記憶：前列腺素為原發痛經的元凶。",[24,26,29,31],{"term":25,"count":10},"原發性痛經",{"term":27,"count":28},"前列腺素PGF2α",1,{"term":30,"count":28},"子宮收縮缺血",{"term":32,"count":28},"續發性痛經",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-maternal-pediatric-056","依據娜姬（Nagy）的理論，9 歲兒童對死亡的概念為何？",56,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-maternal-pediatric-070","小芬，11 個月大，初次診斷為單純性熱性痙攣（simple febrile convulsion）住院治療，下列護理措施何者錯誤？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-maternal-pediatric-028","有關賦權（empowerment）在兒科護理照護的應用，下列敘述何者錯誤？",28,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-maternal-pediatric-032","下列何者不屬於FLACC行為疼痛評估量表的向度？",32,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-maternal-pediatric-026","有關兒童及青少年憂鬱症的飲食治療建議，下列敘述何者最適當？",26,115,"2026-09-04",1788510729957]