[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-2-產兒科護理學-017","nurse-115-2-maternal-pediatric-017",115,2,17,"有關新生兒的生殖系統，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"因母體雌性素影響，男、女嬰均可能有暫時性的乳房充盈現象","出生 1 週內分泌魔乳，會增加未來乳癌發生率","女嬰出現假性月經，與母體的人類胎盤泌乳激素（hPL）增加有關","90%早產兒男嬰出生時睪丸已下降","A",null,[],"本題考點是母體荷爾蒙經胎盤影響新生兒所產生的暫時性現象。依母體雌性素在孕期經胎盤進入胎兒體內、出生後濃度驟降的機轉，男嬰與女嬰都可能出現暫時性乳房充盈，甚至擠出少量乳汁樣分泌物（俗稱魔乳），多於數週內自行消退，故 A 正確。B 錯：魔乳屬暫時性荷爾蒙作用，與日後乳癌發生率無關聯。C 錯：女嬰假性月經是母體雌性素撤除後子宮內膜剝落所致，與人類胎盤泌乳激素（hPL）無關，hPL 的作用在母體代謝與胎兒營養供應。D 錯：睪丸下降主要發生於妊娠後期，足月男嬰約九成已下降，早產男嬰未下降的比例明顯較高。","可把新生兒的「母體荷爾蒙撤除現象」整組記起來：乳房充盈與魔乳、女嬰假性月經與白色黏稠陰道分泌物、以及女嬰外陰與男嬰生殖器暫時腫脹，共同特徵是無需治療、不可擠壓（擠壓易致感染）、數天至數週自然消退。與此對照的另一組生理性變化包括新生兒紅斑、蒙古斑、鼻頭皮脂粒與生理性黃疸。睪丸下降則連結隱睪的追蹤時機與早產兒常見問題。",[24,27,29,31],{"term":25,"count":26},"母體雌性素撤除現象",1,{"term":28,"count":26},"魔乳",{"term":30,"count":26},"假性月經",{"term":32,"count":26},"睪丸下降時程",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-018","握住新生兒的大腿並輕輕往下施壓，做內收（adduction）動作，檢查股骨頭在關節內是否有滑脫現象，此為新生兒先天性髖關節脫臼的何種徵象測試？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-maternal-pediatric-064","下列何者不是兒童急性風濕熱會出現的臨床表徵？",64,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-maternal-pediatric-078","小明，7 歲，在練習游泳時，被同學推入泳池中，因溺水而窒息，經救生員急救後，送醫院治療，目前懷疑腦幹及延髓受損，有關小明的呼吸型態，下列何者較可能出現？",78,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-1-maternal-pediatric-036","有關子宮肌瘤之敘述，下列何者正確？",36,108,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-109-1-maternal-pediatric-080","有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",80,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-maternal-pediatric-034","陳女士因痛經求診，護理師的回答，下列何者最適當？",34,110,"2026-08-06",1787299007059]