[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-2-產兒科護理學-007","nurse-112-2-maternal-pediatric-007",112,2,7,"懷孕婦女抱怨陰道白色分泌物（白帶）增加、呈黏稠狀、無臭味，造成會陰部不適感，此種情況最可能原因為？",{"A":14,"B":15,"C":16,"D":17},"陰道上皮細胞發炎","陰道細胞受到念珠球菌感染","陰道細胞受到嗜乳酸桿菌作用","子宮頸黏液塞排出","C",null,[],"本題考點在孕期正常白帶(leukorrhea)的成因。依陰道生理，懷孕期雌激素上升使陰道上皮增生、肝醣增加，經嗜乳酸桿菌(Döderlein 桿菌)分解肝醣產生乳酸,使陰道呈酸性環境並形成白色、黏稠、無臭味的分泌物增加,選 C。A 說陰道上皮發炎,錯誤;無臭無癢屬生理性非發炎。B 說念珠球菌感染,錯誤;念珠菌感染分泌物呈乳酪塊狀並伴強烈搔癢。D 說子宮頸黏液塞排出,錯誤;黏液塞排出多在臨產前呈帶血黏液(見紅),非孕期持續增加的白帶。故 C 正確。","孕期生理性白帶是雌激素作用下的正常變化:陰道上皮肝醣豐富,嗜乳酸桿菌代謝肝醣產乳酸維持陰道酸性(pH 3.8–4.5),抑制致病菌,分泌物白稠無臭。要與病理性分泌物鑑別:念珠菌(白色乳酪狀+癢)、細菌性陰道炎(灰白+魚腥味)、滴蟲(黃綠泡沫+癢)。護理衛教:保持會陰清潔乾爽、棉質內褲、避免灌洗,若出現顏色氣味搔癢改變則需就醫評估。記憶「無臭無癢是生理、有味有癢要查感染」。可連結陰道感染分類與孕期會陰照護複習。",[24,27,29,31,33],{"term":25,"count":26},"孕期生理性白帶",1,{"term":28,"count":26},"雌激素上皮肝醣",{"term":30,"count":26},"嗜乳酸桿菌 Döderlein",{"term":32,"count":26},"乳酸酸性環境",{"term":34,"count":26},"病理性分泌物鑑別",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-maternal-pediatric-008","懷孕 34 週婦女接受高層次超音波檢查，血流超音波檢查結果 S\u002FD = 2.4，對此檢查結果的敘述，下列何者正確？",8,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-3-maternal-pediatric-024","有關人工受精的敘述，下列何者正確？",24,3,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-maternal-pediatric-018","有關新生兒過渡期執行即刻母嬰肌膚接觸的敘述，下列何者為最佳時機及其理由？",18,113,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-114-3-maternal-pediatric-016","有關產後憂鬱，下列敘述何者錯誤？",16,114,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-106-1-maternal-pediatric-070","有關化學治療藥物的副作用與護理措施，下列敘述何者正確？",70,106,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-107-2-maternal-pediatric-024","有關產後性行為（sexual intercourse）的護理指導，下列敘述何者最適當？",107,"2026-09-04",1788510748039]