[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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-111-2-產兒科護理學-023","nurse-111-2-maternal-pediatric-023",111,2,23,"有關各種避孕方法作用原理的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"迷你丸使子宮內膜產生炎症反應而干擾受精卵著床","子宮內避孕器使子宮頸黏液變黏稠而產生避孕效果","避孕貼片使子宮內膜產生前列腺素化學物質而干擾受精卵著床","陰道避孕環可抑制排卵，使子宮頸黏液變黏稠而產生避孕效果","D",null,[],"本題考點在各避孕法的作用機轉。陰道避孕環釋放雌性素與黃體素，主要抑制排卵，並使子宮頸黏液變黏稠阻礙精子，機轉描述正確，故選D。考點在於荷爾蒙型避孕以抑制排卵為主。選項A迷你丸（單一黃體素避孕丸）主要作用是使子宮頸黏液變稠、子宮內膜不利著床，並非「使子宮內膜產生炎症反應」，該描述較像子宮內避孕器；選項B子宮內避孕器（IUD）的機轉是引發子宮內膜無菌性發炎反應干擾著床（含銅者並殺精），而非「使子宮頸黏液變黏稠」，選項把IUD與荷爾蒙法機轉互換；選項C避孕貼片為荷爾蒙型，主要抑制排卵並使黏液變稠，並非「使子宮內膜產生前列腺素干擾著床」。三個錯項都把不同避孕法的機轉張冠李戴。","避孕機轉分類：荷爾蒙型（複方口服藥、貼片、陰道環、注射）以抑制排卵為主，輔以黏液變稠與內膜不利著床；單一黃體素法（迷你丸、皮下植入）主要靠黏液變稠與內膜變薄，抑排卵較不一致；銅質IUD靠銅離子殺精與局部無菌性發炎干擾著床；含左炔諾孕酮IUD則加上黏液變稠與內膜萎縮。辨題關鍵是把「機轉」正確對應到「方法」，此為常考陷阱。",[24,27,29,31,34],{"term":25,"count":26},"子宮內避孕器",3,{"term":28,"count":10},"抑制排卵",{"term":30,"count":10},"子宮頸黏液",{"term":32,"count":33},"避孕方法機轉",1,{"term":35,"count":33},"陰道避孕環",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-2-maternal-pediatric-024","有關產後子宮復舊（uterine involution），下列敘述何者正確？",24,{"webId":42,"stem":43,"number":44,"year":45,"session":33},"nurse-112-1-maternal-pediatric-040","李女士 40 歲，因子宮内膜癌進行全子宮和雙側輸卵管卵巢切除術，出院前的護理指導，下列何者正確？①第 1 年每 6 個月回診一次 ②不可抬過重的物品 ③告知可能的更年期症狀 ④術後半年避免性行為",40,112,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-112-2-maternal-pediatric-054","小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",54,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-3-maternal-pediatric-022","待產婦女於生產過程中發生肩難產（shoulder dystocia）時，下列處置何者為宜？①教導待產婦快速屈曲大腿靠向腹部 ②於子宮底施壓 ③加強子宮收縮藥劑量 ④注意胎心音變化",22,113,{"webId":56,"stem":57,"number":58,"year":59,"session":33},"nurse-115-1-maternal-pediatric-026","小華，2 個月大，因被厚棉被蓋住頭部，母親掀開棉被後發現小華呈現無意識，有關其急救措施之敘述，下列何者正確？",26,115,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-2-maternal-pediatric-040","有關陰道正常分泌物的敘述，下列何者錯誤？",106,"2026-09-04",1788510739189]