[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":59},"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":11},"nurse-111-2-產兒科護理學-001","nurse-111-2-maternal-pediatric-001",111,2,1,"有關懷孕期正常內分泌變化的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"腦下垂體前葉分泌濾泡刺激素及黃體生成素會增加","甲狀腺所分泌的甲狀腺素會增加","腎上腺分泌留鹽激素會降低","胎盤分泌的雌二醇分泌增加取代卵巢分泌的雌三醇","B",null,[],"本題考點在於懷孕期正常內分泌變化，選正確者。懷孕時基礎代謝率上升、甲狀腺輕度增大，甲狀腺素（T4）分泌增加以應付母體與胎兒需求，故 B 正確。考點在於孕期甲狀腺活性生理性增強。A 錯在懷孕時高濃度雌激素與黃體素負回饋抑制腦下垂體，濾泡刺激素（FSH）與黃體生成素（LH）分泌「減少」而非增加，故無排卵。C 錯在孕期血容量需求增加，腎上腺分泌的留鹽激素（醛固酮）「上升」以保鈉保水，而非降低。D 錯在卵巢分泌的主要是雌二醇，妊娠中後期由胎盤大量製造雌三醇（estriol）並成為主要雌激素，敘述將二者對調而錯誤。","孕期內分泌重點：hCG 維持黃體、黃體素安胎抑制子宮收縮、雌激素促子宮與乳腺發育；胎盤成為內分泌主力，estriol 為胎盤-胎兒單位指標。甲狀腺結合球蛋白上升使總 T4 升高，醛固酮上升應對擴大的血容量。FSH\u002FLH 受抑制故孕期不排卵。",[24,26,28,30],{"term":25,"count":11},"懷孕內分泌變化",{"term":27,"count":11},"甲狀腺素上升",{"term":29,"count":11},"FSH\u002FLH 受抑制",{"term":31,"count":11},"胎盤雌三醇",[33,36,41,45,50,55],{"webId":34,"stem":35,"number":10,"year":9,"session":10},"nurse-111-2-maternal-pediatric-002","阮女士，目前懷孕 30 週，飲食偏好辣與冷食，公婆一直抱怨這樣飲食型態對孩子健康不好，下列護理處置，何者較不適當？",{"webId":37,"stem":38,"number":39,"year":40,"session":11},"nurse-112-1-maternal-pediatric-018","剖腹產時，為減少藥物對胎兒的副作用，宜採用何種麻醉方式？",18,112,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-112-2-maternal-pediatric-032","王女士使用 ritodrine（Yutopar）安胎，下列照護何者正確？",32,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-maternal-pediatric-050","有關癲癇兒童接受生酮飲食療法，下列敘述何者正確？",50,113,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-115-1-maternal-pediatric-004","王女士，懷孕 28 週，產檢時詢問拉梅茲生產準備法，下列回應何者最適當？",4,115,{"webId":56,"stem":57,"number":39,"year":58,"session":10},"nurse-106-2-maternal-pediatric-018","李女士 G 3 P 0 ，已入院待產 12 小時。她說：「我好想用力哦！」，此時護理師最佳的評估是下列何者？",106,"2026-09-04",1788510738983]