[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":11},"nurse-111-2-產兒科護理學-004","nurse-111-2-maternal-pediatric-004",111,2,4,"王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"子宮頸血管增生充血","子宮頸黏液分泌增加","子宮頸組織變肥厚堅硬","子宮頸腺體增加腫脹","C",null,[],"本題考點在辨識懷孕期雌性素對子宮頸的軟化效應。依生殖生理，雌性素使子宮頸血管增生充血、腺體與黏液分泌增加，並在後期使膠原纖維鬆解、含水量上升，因此子宮頸應變得柔軟、藍紫色（Goodell's sign、Chadwick's sign），而非「肥厚堅硬」，故C為錯誤敘述、即為答案。考點在於雌性素造成的是「軟化而非硬化」。選項A子宮頸血管增生充血正確，是Chadwick徵象的基礎；選項B黏液分泌增加正確，會形成黏液栓保護子宮腔；選項D腺體增加腫脹亦為雌性素刺激下的正常變化。三個錯項描述的都是真實發生的軟化與充血現象，唯C方向相反，把生理性軟化誤寫為變硬。","記憶口訣：懷孕子宮頸「軟、藍、腫、多黏液」。Goodell's sign指子宮頸變軟（約懷孕6週出現），Chadwick's sign指外陰、陰道、子宮頸呈藍紫色（充血所致），Hegar's sign則是子宮峽部變軟。黏液栓（mucus plug）由增多的黏液形成，臨產前排出即俗稱「見紅」前兆。與此對比，臨產時子宮頸的「成熟」是進一步軟化、變薄與擴張，全程走向柔軟化。",[24,26,29,31,33],{"term":25,"count":11},"雌性素",{"term":27,"count":28},"Goodell's sign",1,{"term":30,"count":28},"Chadwick's sign",{"term":32,"count":28},"子宮頸軟化",{"term":34,"count":28},"黏液栓",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-maternal-pediatric-005","李女士，懷孕 11 週，第一胎為唐氏症，此胎希望可以提前檢查確診，下列何者為此時較適當的檢查？",5,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-112-1-maternal-pediatric-021","黃女士 G 2 P 2 ，大寶剛剛滿 2 歲，今天預計出院回家，產婦擔心同時照顧 2 個孩子會心力交瘁，下列何者有關黃女士的親子依附關係出現時，最需要特別關注與持續追蹤？",21,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-maternal-pediatric-035","承上題，該產婦在產後觀察期間，觸診其子宮收縮呈堅硬狀，子宮底位置與臍平並置中，膀胱無漲尿，產婦陰道不斷流出鮮紅血性物，半小時內產後棉片就濕透一半，血壓值為 100\u002F65 mmHg。下列敘述何者正確？",35,{"webId":50,"stem":51,"number":52,"year":53,"session":52},"nurse-113-3-maternal-pediatric-003","林女士，G 1 P 0 ，懷孕 14 週，今天產檢時的主訴如下，下列那一項較不符合目前的生理變化？",3,113,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-115-1-maternal-pediatric-007","張女士，G1P0，懷孕 40 週入院待產。目前子宮頸擴張 4 公分，變薄 50%，先露部位高度為 0，羊膜完整，無特殊異常狀況，胎心率為 140 bpm。她詢問：「我可以下床走走嗎？」，護理師最適當的回答是：",7,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-maternal-pediatric-021","協助產婦產後第一次下床活動，須優先進行何項護理評估？",106,"2026-09-04",1788510739005]