[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-maternal-pediatric-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-2-產兒科護理學-025","nurse-114-2-maternal-pediatric-025",114,2,25,"有關更年期婦女荷爾蒙之變化，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"濾泡刺激素（FSH）分泌增加","黃體生成素（LH）分泌減少","雌性素（Estrogen）分泌增加","黃體素（Progesterone）分泌增加","A",null,[],"本題考點在於更年期下視丘-腦下垂體-卵巢軸的荷爾蒙變化。依負回饋機轉，卵巢功能衰退使雌性素與黃體素分泌減少，對腦下垂體的抑制解除，故代償性大量分泌FSH與LH，FSH上升故選A。B錯，LH是增加而非減少；C錯，雌性素分泌明顯減少；D錯，黃體素因不再排卵而下降。臨床上FSH升高正是判定更年期的重要指標。","更年期核心是卵巢濾泡耗竭,雌性素低下解除對下視丘與腦下垂體的負回饋,使FSH、LH代償性飆高(FSH升幅大於LH)。雌性素下降引發熱潮紅、盜汗、陰道萎縮、骨質流失。FSH大於40 mIU\u002FmL常作為卵巢衰竭參考。",[24,27,29,32],{"term":25,"count":26},"更年期",6,{"term":28,"count":10},"負回饋機轉",{"term":30,"count":31},"FSH與LH",1,{"term":33,"count":31},"雌性素下降",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-maternal-pediatric-026","林同學，專科 3 年級生， 1 年前出現情緒低落、無助、悲傷，被診斷為青少年憂鬱症（adolescence’s depression），曾服用 Fluoxetine 及 Paroxetine 治療。近日因實習壓力大，導致失眠、企圖自我傷害。醫師表示憂鬱症復發，須接受治療。下列護理指導何者正確？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-115-1-maternal-pediatric-022","下列何者是發生產後血栓靜脈炎的主要原因？",22,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-maternal-pediatric-016","王女士，46 歲，因子宮肌瘤接受子宮切除手術，有關術後出院照護指導內容，下列何者適當？",16,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-1-maternal-pediatric-054","有關雷氏症候群（Reye’s syndrome）病童的臨床症狀，下列敘述何者正確？",54,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-2-maternal-pediatric-018","下列何者為子宮復舊不全的現象？",18,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-109-2-maternal-pediatric-052","下列何者不屬於新生兒篩檢的項目？",52,109,"2026-09-04",1788510760146]