[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-004":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-111-2-產兒科護理學-004","nurse-111-2-maternal-pediatric-004",111,2,4,"王女士，懷孕 10 週，有關雌性素（estrogen）增加而發生的子宮頸變化，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"子宮頸血管增生充血","子宮頸黏液分泌增加","子宮頸組織變肥厚堅硬","子宮頸腺體增加腫脹","C",null,[],"本題考點在辨識懷孕期雌性素對子宮頸的軟化效應。依生殖生理，雌性素使子宮頸血管增生充血、腺體與黏液分泌增加，並在後期使膠原纖維鬆解、含水量上升，因此子宮頸應變得柔軟、藍紫色（Goodell's sign、Chadwick's sign），而非「肥厚堅硬」，故C為錯誤敘述、即為答案。考點在於雌性素造成的是「軟化而非硬化」。選項A子宮頸血管增生充血正確，是Chadwick徵象的基礎；選項B黏液分泌增加正確，會形成黏液栓保護子宮腔；選項D腺體增加腫脹亦為雌性素刺激下的正常變化。三個錯項描述的都是真實發生的軟化與充血現象，唯C方向相反，把生理性軟化誤寫為變硬。",1,[24,28,31,35,38,42],{"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":34,"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？",3,{"webId":36,"stem":37,"number":11,"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",{"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？",6,1783840792975]