[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-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":26},"nurse-112-1-產兒科護理學-004","nurse-112-1-maternal-pediatric-004",112,1,4,"有關懷孕時因雌性素增加，造成孕期常見的不適，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"使膀胱鬆弛，產生頻尿","使腸胃道活動力降低，產生心灼熱感","使陰道黏膜增生，陰道分泌物會增加","使平滑肌放鬆，導致孕期容易便秘","C",null,[],"本題考點為雌激素在孕期造成的生理變化。雌激素會促使陰道上皮黏膜增生、肝醣增加，白帶（陰道分泌物）因而增多，故 C 正確。A 頻尿主要因子宮壓迫膀胱；B 心灼熱感與 D 便秘皆因黃體素使平滑肌鬆弛、腸胃蠕動減慢及賁門括約肌鬆弛所致，屬黃體素作用而非雌激素，故此三者歸因錯誤，予以排除。","孕期荷爾蒙分工：雌激素促進子宮增大、乳腺管與陰道黏膜增生、凝血因子上升；黃體素鬆弛平滑肌（腸胃、血管、子宮），故便秘、胃灼熱、靜脈曲張多歸黃體素。陰道分泌物增多且偏酸性（乳酸桿菌↑）可抑制病菌，但也較易念珠菌感染。",[24,27,29,31,33],{"term":25,"count":26},"雌激素",3,{"term":28,"count":26},"黃體素",{"term":30,"count":26},"陰道分泌物",{"term":32,"count":10},"平滑肌鬆弛",{"term":34,"count":10},"孕期不適",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-maternal-pediatric-005","陳女士，懷孕 32 週，預計採陰道生產。下列何項為最有效的伸展會陰部肌肉之產前運動？",5,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-2-maternal-pediatric-021","李女士，產後三週，表示產後至今體重增加 5 公斤，失眠睡不好，動作遲緩且嗜睡，對任何事物及新生兒照護都缺乏興趣，覺得很有罪惡感，加上自己坐月子缺乏幫手，常常出現想死的念頭。針對李女士的情形，下列評估何者最適當？",21,2,{"webId":46,"stem":47,"number":48,"year":9,"session":26},"nurse-112-3-maternal-pediatric-035","為促進早產兒的統整化行為，下列護理措施何者不適當？",35,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-114-1-maternal-pediatric-033","罹患第一型糖尿病兒童的照護趨勢，專業人員運用賦權（empowerment）在以家庭為中心照護的目的，下列何者較適當？",33,114,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-115-2-maternal-pediatric-037","有關卡介苗建議接種時間，下列敘述何者正確？",37,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-maternal-pediatric-021","楊女士剖腹產後第二天開始進食，主訴腹脹不舒服，下列措施何者不恰當？",107,"2026-09-04",1788510742436]