— 健康促進與維護 · EASY · MCQ —
護理師教導病人自我乳房檢查 (SBE)。停經前婦女何時檢查最合適？
A nurse is teaching a patient about self-breast examination (SBE). What is the correct timing for premenopausal women?
- AOne week after menses starts✓ 正解月經開始後一週
- BDuring menstruation月經期間
- CAt the same time every day每天同一時間
- DWhenever they feel lumps感覺有腫塊時
— Explanation · 中文詳解 —
自我乳房檢查（Self-Breast Examination, SBE）的目的是讓女性熟悉乳房的正常結構，以便及早發現異常。停經前婦女的乳房組織受雌激素（Estrogen）與黃體素（Progesterone）週期性波動影響，經期前常出現生理性腫脹、壓痛及結節感，極易造成偽陽性。經期開始後第 7 至 10 天，荷爾蒙濃度處於低點，乳房組織最軟且最無水腫，是觸診最準確的時機。臨床思路應優先考慮生理週期對身體評估的干擾因素。
Premenopausal women should perform self-breast examinations one week after the start of their menstrual cycle when hormonal levels are lowest and breast tissue is least tender. This timing minimizes physiological swelling and nodularity, reducing the likelihood of false-positive findings and ensuring the most accurate assessment.