[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-產兒科護理學-016","nurse-113-2-maternal-pediatric-016",113,2,16,"下列何種情況適合裝置子宮內避孕器？",{"A":14,"B":15,"C":16,"D":17},"不明原因的陰道出血者","月經週期不規則者","月經過多者","痛經厲害者","B",null,[],"本題考點在於子宮內避孕器（IUD）的適應症與禁忌症。IUD 靠異物反應與局部發炎干擾受精卵著床，適合月經規則、無出血異常的婦女；月經週期不規則者（B）雖非最理想，但四個選項中僅此項不屬明確禁忌，故為正解。反觀 A 不明原因陰道出血屬絕對禁忌，因裝置後無法區分出血是病灶（如子宮內膜癌）還是 IUD 副作用，會延誤診斷。C 月經過多者不適合，因 IUD（尤指銅 T）本身會使經血量增加、經期延長，會加重原有症狀。D 痛經厲害者也不適合，IUD 引起子宮收縮會使痛經更劇。本題以「排除禁忌」的邏輯選出相對可行者，須辨識 IUD 會加重出血與疼痛的特性。","銅離子 IUD 機轉為銅釋出干擾精子活動力與著床，副作用正是經量增多、經痛加劇，故凡「出血多、痛經、經期亂到無法評估」皆列相對或絕對禁忌。含左炔諾孕酮的荷爾蒙 IUD（Mirena）反而可減少經量、治療經血過多，若題目改問荷爾蒙 IUD 則 C 會變成適應症。記憶法：銅 IUD「怕出血怕痛」，荷爾蒙 IUD「治出血」。不明原因出血是所有避孕器與荷爾蒙避孕的共同禁忌，因掩蓋惡性病灶風險最高。",[24,27,29,31],{"term":25,"count":26},"子宮內避孕器適應症",1,{"term":28,"count":26},"銅IUD副作用經量增多",{"term":30,"count":26},"不明原因陰道出血禁忌",{"term":32,"count":26},"痛經與IUD",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-017","陳小弟出生第二天，執行親子同室。陳小弟若出現下列何種狀況，護理師應進一步評估？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-013","林女士，G 1P 1，剖腹生產後一週，主訴全身發熱不舒服，身體檢查沒有明顯身體其他部位疼痛情況。若是此發熱不適與子宮復舊有關，下列何者為最可能的子宮復舊評估結果？",13,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-007","陳女士，懷孕 12 週又 3 天，過去曾經在 9 週時自然流產一次，家裡有 3 個孩子，分別是 40 週出生的女兒 1 個、35 週出生的雙胞胎 2 個，以孕產史記錄法，其產次應為？",7,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-055","依據娜姬（Nagy）死亡概念理論，下列何者不是 6 歲兒童對死亡的概念？",55,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-019","當待產婦使用 PGE 2 陰道栓劑後，護理師需要監測下列何種變化？",19,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-053","有關嬰兒急救的程序，下列敘述何者正確？",53,108,"2026-09-04",1788510755453]