— 健康促進與維護 · MEDIUM · MCQ —
一位 20 歲女性詢問關於人類乳突病毒 (HPV) 疫苗。護理師下列何者敘述正確？
A 20-year-old female client asks about the human papillomavirus (HPV) vaccine. Which statement by the nurse is accurate?
- ARoutine screening, such as Pap smears, is no longer needed after vaccination接種疫苗後不再需要例行篩檢，例如子宫颈抹片檢查
- BThe vaccine is only effective if administered before sexual activity只有在性行為之前接種疫苗才有效
- CThe vaccine series consists of one injection疫苗接種系列僅包含一劑注射
- DIt protects against most strains of HPV that cause cervical cancer✓ 正解它能保護對抗大多數引起子宮頸癌的人類乳突病毒 (HPV) 菌株
— Explanation · 中文詳解 —
HPV 疫苗（如 Gardasil 9）主要針對導致子宮頸癌的高風險類型（如 16, 18 型）。即便已有性行為，疫苗仍具保護力，僅是效果可能不如初次接觸前佳。疫苗無法取代抹片檢查，因其未涵蓋所有病毒類型。疫苗通常需 2-3 劑。
The HPV vaccine protects against the high-risk strains most commonly associated with cervical cancer, such as types 16 and 18. Although vaccination is beneficial even after sexual activity begins, it does not replace the need for routine Pap smear screenings.
✦ 台美臨床差異
台灣目前針對國中女生提供公費疫苗，美國則透過健保與學校體系推廣。