[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-basic-medicine-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-111-1-基礎醫學-030","nurse-111-1-basic-medicine-030",111,1,30,"下列何種激素在懷孕過程中不會大量增加？",{"A":15,"B":16,"C":17,"D":18},"人類胎盤泌乳素（hPL）","催產素（oxytocin）","雌激素（estrogen）","泌乳素（prolactin）","B",null,[],"本題考點在於懷孕期各激素的變化,要找出「不會大量增加」者。催產素(oxytocin)在整個懷孕維持期並不大量上升,主要在分娩時才因子宮頸擴張的正回饋而急劇釋放以促進子宮收縮,故孕程中它相對不大量增加,選 B。A 人類胎盤泌乳素(hPL)由胎盤分泌,隨孕程持續增加以調節母體代謝供給胎兒營養。C 雌激素由胎盤大量製造,整個孕期顯著上升。D 泌乳素(prolactin)為哺乳做準備,孕期漸增。三者皆隨懷孕大幅上升,唯催產素以分娩期爆發為主,故正解為 B。","孕期激素概觀:早期由黃體分泌黃體素與雌激素維持,約 8–10 週後胎盤接手(黃體-胎盤轉換);hCG 於早期高峰後下降;雌激素、黃體素、hPL、泌乳素則隨胎盤成長持續攀升。催產素由下視丘製造、腦垂腺後葉釋放,孕期血中濃度變化不大,子宮對其敏感度則因雌激素上調催產素受體而在足月時大增;分娩時胎頭壓迫子宮頸經正回饋(Ferguson reflex)使催產素驟升,並在哺乳時因吸吮反射釋放促進噴乳。此「維持期平穩、事件期爆發」的模式是它與其他孕期激素的關鍵差異。",[25,28,30,32],{"term":26,"count":27},"泌乳素",3,{"term":29,"count":11},"催產素 oxytocin",{"term":31,"count":11},"懷孕期激素變化",{"term":33,"count":11},"人類胎盤泌乳素 hPL",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-1-basic-medicine-031","下列有關人體在高海拔地區之生理調適反應，何者正確？",31,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-111-2-basic-medicine-047","下列何種黴菌常經由呼吸道感染？",47,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-112-2-basic-medicine-041","下列敘述何者錯誤？",41,112,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-113-3-basic-medicine-039","下列抗癌藥物中，何者不屬於烷基化藥物（alkylating agents）？",39,113,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-115-1-basic-medicine-043","下列何種細胞最主要表現 MHC class II 分子，並將抗原呈現給 T 細胞？",43,115,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-106-2-basic-medicine-057","下列抗心律不整藥物，何者可以降低動作電位第四期的去極化，而減少竇房結的自主性？",57,106,"2026-09-04",1788510732939]