[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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-025","nurse-112-1-maternal-pediatric-025",112,1,25,"王女士，28 歲第一胎，產後 2 個月，月經尚未來，採純母乳哺餵。下列何項避孕措施最不推薦？",{"A":14,"B":15,"C":16,"D":17},"口服避孕藥","子宮內避孕器","保險套","泌乳無月經避孕法","A",null,[],"本題考點為哺乳婦女的避孕方式選擇原則。依據雌激素會抑制泌乳的藥理特性,含雌激素的複方口服避孕藥會減少乳汁分泌量並可能影響嬰兒,故對純母乳哺餵婦女最不推薦,選 A。B 子宮內避孕器不含荷爾蒙或僅含局部作用之黃體素,不影響泌乳,可安全使用;C 保險套為屏障法,完全不涉及荷爾蒙,對哺乳無影響且兼具防護,適合哺乳期;D 泌乳無月經避孕法(LAM)正是利用純母乳哺餵、閉經、產後六個月內三條件達成的自然避孕,適用於此個案。故四者中唯有含雌激素之口服避孕藥須避免。","哺乳期避孕的關鍵在於避免雌激素。若需口服避孕,可選僅含黃體素的迷你丸(progestin-only pill)取代複方藥。LAM 有效性依賴三要件同時成立,任一條件失效(如開始添加副食品、月經恢復、超過六個月)即須改用其他方法。記憶口訣:「哺乳怕雌激素,黃體素與屏障安全。」",[24,27,29],{"term":25,"count":26},"雌激素抑制泌乳",2,{"term":28,"count":10},"複方口服避孕藥",{"term":30,"count":10},"泌乳無月經避孕法 LAM",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-112-1-maternal-pediatric-026","有關產後泌尿系統的變化，下列何者為正常現象？",26,{"webId":37,"stem":38,"number":39,"year":9,"session":26},"nurse-112-2-maternal-pediatric-042","小澤，8 歲，罹患氣喘，有關促進小澤在學校生活適應，下列敘述何者不適當？",42,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-113-1-maternal-pediatric-006","有關孕期的營養需求，下列敘述何者錯誤？",6,113,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-114-2-maternal-pediatric-004","懷孕 10 週婦女，以超音波評估胎兒大小，下列測量部位何者最適當？",4,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-008","有關胎兒呼吸系統發育之敘述，下列何者正確？",8,106,{"webId":56,"stem":57,"number":39,"year":58,"session":10},"nurse-107-1-maternal-pediatric-042","有關燒燙傷之敘述，下列何者錯誤？",107,"2026-09-04",1788510742625]