[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-113-2-產兒科護理學-004","nurse-113-2-maternal-pediatric-004",113,2,4,"有關懷孕內分泌系統的變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"甲狀腺體積比未懷孕時期減少","鬆弛素大部分是由黃體分泌","醛固醇分泌量減少，特別是限鈉飲食的孕婦","第一孕期，hCG 的分泌主要是來自胎盤","B",null,[],"本題考點在於懷孕期內分泌系統的生理變化。鬆弛素（relaxin）於孕期主要由黃體分泌（胎盤與蛻膜亦少量分泌），作用為鬆弛骨盆韌帶與軟化子宮頸，故 B 正確。A 錯在孕期甲狀腺因代謝需求增加而體積增大、非減少；C 錯在孕期腎素-血管收縮素-醛固酮系統活化使醛固酮分泌增加以保鈉保水，限鈉飲食時代償更明顯，並非減少；D 錯在第一孕期 hCG 主要由胚胎滋養層細胞（syncytiotrophoblast）分泌以維持黃體，敘述「主要來自胎盤」不精確。","孕期內分泌記法：黃體早期是激素主力（分泌 relaxin、並在胎盤成熟前維持黃體酮），約 8–10 週後由胎盤接手（黃體-胎盤轉換）。醛固酮升高對抗黃體酮的排鈉作用、維持血容量。甲狀腺呈生理性增大與代謝上升。hCG 由滋養層分泌、驗孕標的，peak 約 8–10 週後下降。",[24,27,29,31],{"term":25,"count":26},"鬆弛素由黃體分泌",1,{"term":28,"count":26},"醛固酮增加保鈉",{"term":30,"count":26},"孕期甲狀腺增大",{"term":32,"count":26},"hCG 滋養層分泌",[34,38,42,46,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-005","懷孕 24 週婦女，表達她很想感受「與胎兒連為一體的情感」，下列護理指導，何者最適當？",5,{"webId":39,"stem":40,"number":26,"year":41,"session":26},"nurse-114-1-maternal-pediatric-001","有關婦嬰生命統計資料的敘述，下列何者錯誤？",114,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-114-2-maternal-pediatric-045","有關骨肉瘤（osterosarcoma）的症狀及治療，下列敘述何者錯誤？",45,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-106-1-maternal-pediatric-043","小明，5 歲，因上呼吸道感染住院，基於以家庭為中心的照護理念，下列何者錯誤？",43,106,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-2-maternal-pediatric-007","針對胎兒胚胎發育成身體各器官及構造中，下列何者是由中胚層發育而來？",7,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-108-2-maternal-pediatric-041","有關青少年病人住院的護理，下列何者錯誤？",41,108,"2026-09-04",1788510755338]