[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-024":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":10},"nurse-115-2-產兒科護理學-024","nurse-115-2-maternal-pediatric-024",115,2,24,"有關子宮頸癌的高危險因子，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"第 6、11 型人類乳突病毒感染","免疫功能受抑制的高危險群","吸菸者","性對象複雜者","A",null,[],"本題考點是人類乳突病毒（HPV）型別的高低危險分群。依 HPV 致病型別分類，第 6 與第 11 型屬低危險型，主要造成生殖器疣（尖狀濕疣）與喉部乳突瘤，很少造成子宮頸上皮細胞的持續性感染與癌化，因此列為子宮頸癌高危險因子最不適當，選 A；真正與子宮頸癌關聯最強的是第 16 與第 18 型。B 屬危險因子：免疫功能受抑制者（如 HIV 感染、器官移植後服用免疫抑制劑）不易清除病毒，持續感染機會上升。C 屬危險因子：吸菸使局部免疫下降並產生致癌代謝物。D 屬危險因子：性對象複雜提高 HPV 暴露機會。","記憶口訣是「6、11 長疣，16、18 致癌」。病理機轉在於高危險型的 E6 與 E7 蛋白分別使 p53 與 pRb 這兩個腫瘤抑制蛋白失能，導致細胞週期失控與 DNA 修復缺陷，形成從輕度上皮病變逐步進展到侵犯癌的多階段歷程；低危險型缺乏這種有效的抑癌蛋白干擾能力，只造成良性增生。其他危險因子包括初次性行為年齡早、多產、長期口服避孕藥與共存的性傳染病。延伸可連結子宮頸抹片與 HPV 檢測的篩檢角色，以及疫苗涵蓋型別的差異。",[24,26,29,31],{"term":25,"count":10},"HPV 16、18 型",{"term":27,"count":28},"HPV 高低危險型別",1,{"term":30,"count":28},"E6\u002FE7 抑癌蛋白失能",{"term":32,"count":28},"子宮頸癌危險因子",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-maternal-pediatric-025","鄭女士，因子宮脫垂入院治療，下列敘述何者正確？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-maternal-pediatric-071","有關接受 Port-A 導管植入病童的護理措施，下列敘述何者錯誤？",71,106,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-107-1-maternal-pediatric-005","王女士，孕前 BMI 值為 24，目前懷孕 25 週，體重較孕前增加 3 公斤，有關護理師的回應，下列何者較為適當？",5,107,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-108-1-maternal-pediatric-043","林小弟，妊娠週數 37 週又 3 天，出生體重 2950 公克，採純母乳哺餵，今體重 2620 公克，減少出生體重的 10%以上，給予檢測血糖為 33 mg\u002FdL，有關低血糖可能造成的影響及處理，下列何者錯誤？",43,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-109-2-maternal-pediatric-007","懷孕 28 週婦女參加產前媽媽教室，練習母乳哺餵姿勢和嬰兒沐浴，此為下列何種母性認同行為之表現？",7,109,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-110-2-maternal-pediatric-041","有關 3 歲兒童的心肺復甦術之敘述，下列何者正確？",41,110,"2026-08-06",1787299007115]