2026 김이지 보건임용 04 : 모성간호학

PART 01 여성 생식기 구조와 기능 ··············· 8
1 여성 외생식기 ··············································8
2 여성 내생식기 ·············································11
3 골반 ····························································18
4 유방 ····························································21

PART 02 여성 생식 생리와 호르몬 ············· 23
1 시상하부-뇌하수체-난소주기 ··················23
2 난소주기 ····················································25
3 자궁내막주기(월경주기) ······························30
4 월경주기관련 호르몬 ································33

PART 03 여성 생식기 건강사정 ·················· 37
1 외부 생식기 ···············································37
2 내부 생식기 ···············································38

PART 04 피임법 ··········································· 40
1 피임법의 이상적 조건(선택시 고려할 요인) ·· 40
2 월경주기법(자연가족계획, 가임기간 인지방법, 생식능력 인지기반 피임법) ·················41
3 자궁경부차단법 ·········································44
4 질 살정제 ···················································48
5 호르몬 피임법 ···········································49
6 자궁내 장치(IntraUterine Device, IUD) ··········56
7 응급피임약 ·················································59
8 외과적 불임법(영구 불임법, 불임술) ············60
9 성교중절법(질외사정법) ·······························61
10 수유 무월경법 ············································61
11 피임방법의 분류 ········································61
12 인공임신중절 ·············································62

PART 05 월경이상 ······································· 64
1 무월경 ························································64
2 비정상 자궁출혈 ········································69
3 월경곤란증 ·················································74
4 월경전 증후군(premenstrual syndrome, PMS) ························································77
5 황색 포도상 구균에 의한 독성쇼크증후군 ···························································79
6 그룹 A 연쇄상 구균으로 인한 독성 쇼크증후군 ························································84

PART 06 생식기 감염 ·································· 85
1 외생식기 감염 ···········································85
2 외음의 염즘성 질환 ···································86
3 내생식기 감염 ············································87
4 골반 염증성 질환(pelvic inflammatory disease, PID) ················96

PART 07 자궁내막질환 ····························· 100
1 자궁내막증(endometriosis) ························100
2 자궁선근증(uterine adenomyosis, adenomyosis) ·················································106
3 자궁내막증식증(endometrial hyperplasia) ··108

PART 08 난임간호 ····································· 110
1 난임 정의 및 분류 ····································110
2 난임의 원인 ··············································110
3 여성 난임 사정 ·········································114
4 남성난임사정 ············································121
5 여성 난임치료 ··········································123
6 남성 난임치료 ··········································129
7 난임치료 시술 ··········································130
PART 09 폐경기 간호 ································ 135
1 갱년기 진행과정 ······································135
2 갱년기의 건강문제와 건강관리 ···············138
3 신체검진 ···················································145
4 약물요법 ···················································146
5 운동요법 ···················································148
6 영양과 식이요법 ······································149
7 비뇨기계 감염예방 및 안전한 성생활 ·····150

PART 10 생식기 종양관련 간호 ················ 151
1 자궁근종 ···················································151
2 자궁경부상피내종양(CIN) ·························156
3 자궁경부암 ···············································162
4 자궁내막암 ···············································166
5 자궁육종 ···················································168
6 기능성 난소낭종 ······································168
7 다낭성난소증후군(PCOS) ·························169
8 난소의 양성 종양 ·····································172
9 난소 및 난관 악성종양 ····························174
10 질의 종양 ··················································179
11 외음 종양 ·················································180
12 임신성 융모성 종양 ·································182

PART 11 생식기 수술 ································ 184
1 자궁절제술 ···············································184
2 자궁근종절제술 ········································186
3 난소수술 ···················································186
4 난관수술 ···················································187
5 외음절제술 ···············································187
6 골반장기제거술 ········································187

PART 12 성매개 질환 ································ 188
1 임질 ··························································188
2 클라미디아(chlamydia) ······························190
3 첨형 콘딜로마(인유두종 바이러스 감염(HPV) 6번, 11번) ·······································192
4 음부포진 ···················································194
5 매독 ··························································198
6 연성하감 ··················································202
7 서혜육아종 ··············································203
8 성병성 림프육아종 ··································204
9 후천성 면역결핍증후군 ···························204

PART 13 태아 발달 ···································· 210
1 태아발달 ···················································210
2 배아와 태아부속물 ···································213
3 태아 발달 ·················································220

PART 14 태아 건강사정 ···························· 228
1 초음파 검사 ·············································228
2 태아심박동수 측정 ···································231
3 태동 측정(자가 측정법) ······························231
4 생물리학적 계수(Biophysical Profile, BPP) ·· 232
5 자기공명영상(MRI) ···································234
6 태아경 검사(fetoscope) ·····························234
7 양막경 검사 ·············································234
8 모체혈청 검사 ·········································235
9 양수천자 ··················································237
10 경피 제대혈 채취 ····································238
11 융모막융모생검 ·······································238
12 태아 DNA 선별검사 ································239
13 전자 태아감시장치 ··································239
14 태아심박동 이상 양상 ·····························242
15 하강 ··························································243

PART 15 정상임신 간호 ···························· 247
1 임산력과 출산력 ······································247
2 임신의 징후와 진단 ·································248
3 임신여성의 신체계통별 변화와 간호 ······251
4 임부 영양과 체중증가 ·····························269

PART 16 임부의 건강사정과 간호 ············ 272
1 임신 기수 ·················································272
2 산전방문 일정 ··········································272
3 산과력, 분만예정일 ·································272
4 신체검진 ··················································274
5 검사실 검사 ·············································275
6 임신시 흡연, 음주, 약물 영향 ·················277
7 임신 중 예방접종 ·····································277
8 임신 중 성생활 ········································278
9 임신 중 건강위협 증상 ····························278

PART 17 고위험 임신 간호 ······················· 279
1 다태임신 ··················································279
2 임신오조증 ···············································279
3 임신전반기 출혈 ······································281
4 임신후반기 출혈 ······································289
5 고혈압성 건강문제 ··································299
6 당뇨병 ······················································307
7 심장질환 ··················································309
8 갑상샘질환 ···············································310
9 Rh 동종면역 ·············································311
10 비뇨기계 질환 ··········································312
11 감염질환 ···················································312
12 TORCH 감염 ············································314

PART 18 정상분만 간호 ···························· 315
1 분만에 영향을 주는 요소(5P) ···················315
2 산도의 구성 요소 ·····································315
3 분만과정 ··················································327
4 신생아 사정 및 간호 ·······························340

PART 19 고위험 분만 간호 ······················· 342
1 난산 ··························································342
2 조기진통 ··················································344
3 만기후 분만 ·············································347
4 자궁파열 ··················································349
5 자궁내번증 ··············································350
6 유착태반 ···················································351
7 제대탈출 ··················································352
8 양수과다증, 양수과소증 ··························353
9 융모양막염 ··············································354
10 양수색전증 ··············································354
11 인위적 분만 ·············································355
12 조작적 분만법 ·········································358
13 제왕절개 후 질분만 시l도(VBAC) ············359

PART 20 정상 산욕기 간호 ······················· 360
1 자궁저부 높이(자궁퇴축) ··························360
2 산욕기 생리적 변화 ································360
3 산욕기 기관별 변화 ·································361
4 산욕기 간호사정 및 간호 ························363

PART 21 고위험 산욕 간호 ······················· 370
1 산욕감염(산후감염) ···································370
2 자궁내막염 ··············································370
3 산후출혈 ··················································372
4 산욕기 산후정신건강 문제 ······················374