[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-026","nurse-111-2-maternal-pediatric-026",111,2,26,"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？",{"A":14,"B":15,"C":16,"D":17},"瞭解齊女士記憶中的最長及最短週期","最長月經週期減 10，最短月經週期減 18","卵子排卵後可存活 48～72 小時","避孕效果約 80%","B",null,[],"本題考點是月經規律者以『安全期(月曆)法』避孕的推算。危險期公式為:起始日=最短週期−18、結束日=最長週期−11,需對最長、最短週期各減一數。選項B『最長週期減10(≈11)、最短週期減18』正符此結構,故選B。A僅『憑記憶』知最長最短週期不足,月曆法須確實記錄6–12個週期。C『卵子排卵後存活48–72小時』錯誤,卵子受精力約12–24小時,48–72小時為精子存活時間。D將避孕效果誇大\u002F低估,成效取決於正確計算與週期規律度,非本題重點。","月曆法(Ogino–Knaus)原理是把『精子可存活數天+卵子存活數小時+排卵時點不確定』的區間都涵蓋在危險期內。推算前提是週期規律並累積記錄多個月;由最短週期−18推估最早可孕日、最長週期−11推估最晚可孕日(部分教科書用−10),兩日之間須禁慾或使用其他方法。關鍵數字別記反:精子存活約48–72小時、卵子受精力約12–24小時,故C選項把兩者對調即錯。此法失敗率偏高、對週期不規律者不可靠,屬自然避孕中準確度較低者,常作為考題辨析『存活時間』與『推算公式』的素材。",[24,27,29,31],{"term":25,"count":26},"安全期(月曆)法",1,{"term":28,"count":26},"危險期推算公式(最短−18、最長−11)",{"term":30,"count":26},"卵子存活12–24小時",{"term":32,"count":26},"精子存活48–72小時",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-027","有關剖腹產後陰道生產（vaginal birth after cesarean, VBAC）的敘述，下列何者正確？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-043","李小妹，2 歲 8 個月，屬於李小妹遊戲發展特點，下列敘述何者正確？",43,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-057","小章，足月兒，出生即確診為後天免疫缺乏症候群（AIDS），若病況穩定需接種疫苗時，下列敘述何者錯誤？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-025","毛女士接受人工受精治療後懷孕併多胞胎妊娠，將接受減胎術，毛女士表示很擔心嬰靈會對自己有不好的影響，下列護理師之回應何者最適當？",25,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-maternal-pediatric-029","有關嬰幼兒給藥方式，下列措施何者最適當？",29,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-043","幼兒長期大量接觸鉛，導致鉛中毒所產生的合併症，下列那一項最為嚴重且會造成不可逆的傷害？",106,"2026-09-04",1788510739207]