[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-108-2-產兒科護理學-003","nurse-108-2-maternal-pediatric-003",108,2,3,"李女士，G 1 P 0 ，懷孕 25 週，請教護理師：「我身體上從肚臍到會陰部有一條褐色的線，這正常嗎？什麼時候會消失？」，護理師的回答，下列何者為宜？",{"A":14,"B":15,"C":16,"D":17},"這是懷孕期荷爾蒙變化造成皮膚色素沈著，約在生產後會逐漸變淡","這是懷孕常見的妊娠紋，約在生產後 2～3 個月會消失","有可能是胎兒異常的徵兆，建議進一步做染色體核型分析","需儘快到整型外科或皮膚科進行去斑處理，否則容易留下永久的色素沈著","A",null,[],"本題考點是妊娠期腹部正中線色素沈著（linea nigra，妊娠黑線）的成因與衛教。依妊娠生理，胎盤分泌的雌激素與黑色素細胞刺激素（MSH）增加，使黑色素細胞活性上升，造成腹中線、乳暈、臉部（黑斑）等處色素加深，屬正常變化，多於產後隨荷爾蒙回復而逐漸變淡，故選 A。B 錯在把色素線誤稱為「妊娠紋」，妊娠紋是真皮膠原斷裂造成的條紋、不會完全消失，兩者機轉不同。C 錯在色素線與胎兒染色體異常無關，屬過度診斷的錯誤衛教。D 錯在此為生理現象不需去斑處置，且帶有不當臨床指令語氣。",1,[24,28,31,34,38,42],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",{"webId":32,"stem":33,"number":11,"year":27,"session":22},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",{"webId":35,"stem":36,"number":37,"year":27,"session":22},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":39,"stem":40,"number":41,"year":27,"session":22},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":43,"stem":44,"number":45,"year":27,"session":22},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840759473]