[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-產兒科護理學-024","nurse-113-1-maternal-pediatric-024",113,1,24,"有關逆行性射精之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常見於脊髓損傷或糖尿病合併神經病變之患者","可能為腹腔或骨盆腔手術後之併發症","流至尿道的精液逆流至膀胱","接受精子捐贈進行人工授精為唯一的治療方式","D",null,[],"本題考點在於逆行性射精（retrograde ejaculation）的病因與治療，屬反向題，須找出錯誤敘述。錯誤敘述為 D「接受精子捐贈進行人工授精為唯一治療方式」。依泌尿與生殖醫學，逆行性射精可先嘗試藥物治療（如擬交感神經藥 pseudoephedrine、imipramine）促使膀胱頸關閉，或自膀胱尿液中回收精子進行人工協助生殖，並非只能靠精子捐贈，且用『自身』精子即可，故 D 錯誤為答案。A 正確，脊髓損傷或糖尿病神經病變會影響膀胱頸括約肌交感神經功能，是常見病因。B 正確，腹腔或骨盆腔手術（如攝護腺、後腹腔淋巴結廓清）可能傷及交感神經而併發逆行性射精。C 正確，逆行性射精的定義即精液未能順行射出、逆流進入膀胱。故選 D。","機轉延伸：正常射精時膀胱頸（內括約肌）在交感神經作用下收縮關閉，使精液前行經尿道射出。當交感神經受損（糖尿病自主神經病變、脊髓損傷）或膀胱頸結構受破壞（攝護腺手術後）時，膀胱頸無法閉合，精液逆流入膀胱，臨床表現為『乾性高潮』與射精後尿液混濁（含精子）。治療階梯——藥物增強膀胱頸張力、鹼化尿液後從尿中回收精子行人工授精或試管嬰兒。使用自身精子即可達到生育目的，故『唯一靠精子捐贈』的敘述明顯錯誤。",[24,26,28,30],{"term":25,"count":10},"逆行性射精",{"term":27,"count":10},"膀胱頸交感神經功能",{"term":29,"count":10},"糖尿病神經病變與脊髓損傷",{"term":31,"count":10},"藥物與精子回收治療",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-025","王女士罹患梅毒，王女士表示先生如果知道了，他會失去先生，不停掩面哭泣，下列護理措施何者最適當？",25,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-021","林女士，入院待產，醫師內診時發現臍帶脫垂，下列處置何者錯誤？",21,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-015","產婦產後第一次下床活動前，下列何者為最優先的護理評估？",15,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-013","承上題，護理師提供蘇女士背部按摩以減輕疼痛，此護理措施是根據那一種疼痛理論？",13,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-057","有關自閉症兒童的特徵，下列敘述何者錯誤？",57,107,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-108-2-maternal-pediatric-011","王女士待產時，胎心率之變異性為 6～10 bpm，下列敘述何者正確？",11,108,"2026-09-04",1788510750842]