[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-025","nurse-111-2-maternal-pediatric-025",111,2,25,"吳女士，G 1 P 1 ，產後第三天，計畫採純母乳哺育，詢問：「哺乳是否可以避孕？」下列護理指導何者最適當？",{"A":14,"B":15,"C":16,"D":17},"在月經尚未出現之前，不分日夜純母乳哺餵，頻率 8～10 次以上，6 個月內可當作避孕措施","分娩後 42 天可能排卵，哺乳避孕只適用於產後 1 個月內","哺乳可以抑制排卵，只要純母乳哺餵，月經未恢復即可避孕","純母乳哺餵是最不安全的避孕方式，不建議產後 6 個月內使用","A",null,[],"本題考點在哺乳性無月經避孕法（LAM）的三項成立條件。LAM需同時滿足：產後6個月內、月經尚未恢復、且純母乳哺育（不分晝夜、頻繁哺餵），三者具備時避孕效果可達約98%，故選A的敘述最完整正確。考點在於LAM三條件缺一不可。選項B「哺乳避孕只適用於產後1個月內」時間錯誤，LAM有效期為6個月內；選項C「只要純母乳、月經未恢復即可避孕」漏掉「6個月內」的時間條件，敘述不完整；選項D稱哺乳是「最不安全的避孕方式、不建議產後6個月內使用」與LAM原理完全相反，錯誤。三個錯項或漏條件、或時間錯、或方向相反，唯A同時涵蓋三要件。","LAM（Lactational Amenorrhea Method）三要件記憶：6個月內＋純母乳（頻繁、日夜哺餵、間隔白天不超過4小時夜間不超過6小時）＋無月經。機轉為頻繁吸吮使泌乳素持續偏高，抑制GnRH與促性腺激素、延緩排卵。任一條件不符（滿6個月、月經來、開始添加副食品或減少哺乳）即失效，須改採其他避孕法。正確使用下失敗率低，是產後過渡期實用方法。",[24,27,29,32],{"term":25,"count":26},"純母乳哺育",3,{"term":28,"count":10},"泌乳素抑制排卵",{"term":30,"count":31},"哺乳無月經避孕法",1,{"term":33,"count":31},"LAM三條件",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-maternal-pediatric-026","齊女士，月經週期規律，擬以安全期法避孕，下列護理師的指導何者正確？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-maternal-pediatric-042","以「家庭為中心的照護」應用於加護病房的照顧，下列敘述何者正確？",42,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-maternal-pediatric-056","有關評估早產兒的生長發展，下列敘述何者最適當？",56,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-maternal-pediatric-024","護理師從胎兒監測器得知，胎兒心跳 100 次／分，持續 80 秒，其型態與宮縮沒有一定關係，此胎心率型態為：",24,113,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-115-1-maternal-pediatric-028","有關兒童各系統生長發展之敘述，下列何者正確？",28,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-maternal-pediatric-042","衛生福利部國民健康署，2013 年提倡嬰幼兒健康促進及保護計畫目標，針對 1～14 歲兒童之目標，期望減少那一項之死亡率？",106,"2026-09-04",1788510739203]