[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-maternal-pediatric-069":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-106-1-產兒科護理學-069","nurse-106-1-maternal-pediatric-069",106,1,69,"小樺，7 歲，最近因持續發燒、易流鼻血而求診，診斷疑似急性淋巴性白血病，下列那一項檢查結果可以確定其診斷？",{"A":14,"B":15,"C":16,"D":17},"周邊血液白血球數量 15,000\u002Fmm 3","周邊血液血小板數量 20,000\u002Fmm 3","腦脊髓液色澄清，葡萄糖減少","骨髓中未成熟白血球細胞有 85%","D",null,[],"本題考點為急性淋巴性白血病的確定診斷依據。依血液惡性疾病的診斷原則,確診需靠骨髓檢查證實骨髓中充斥未成熟的芽細胞,D「骨髓中未成熟白血球細胞有85%」正是骨髓被芽細胞取代的直接證據,故為確診依據。A周邊血白血球15000僅為輕度上升、無特異性;B血小板20000顯示血小板低下、只是提示骨髓功能受抑;C腦脊髓液葡萄糖減少屬中樞神經感染或侵犯的間接指標,皆無法單獨確立白血病診斷,故不選。","白血病確診金標準是骨髓穿刺與切片,芽細胞比例達25%以上(本題85%遠超)即可診斷,再輔以免疫分型、細胞遺傳與分子檢查加以分類。周邊血象與症狀(貧血、出血、感染、肝脾淋巴結腫大)只是懷疑線索。CSF檢查用於評估中樞神經侵犯以決定是否鞘內化療。記憶:懷疑靠血象,確診靠骨髓芽細胞。",[24,27,29,31],{"term":25,"count":26},"急性淋巴性白血病",2,{"term":28,"count":10},"骨髓芽細胞",{"term":30,"count":10},"骨髓穿刺",{"term":32,"count":10},"確定診斷",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-maternal-pediatric-070","有關化學治療藥物的副作用與護理措施，下列敘述何者正確？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-1-maternal-pediatric-006","有關妊娠期的營養評估與指導，下列何者錯誤？",6,107,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-107-2-maternal-pediatric-020","張女士 G 2 P 2 ，陰道生產後第 2 天，向護理師表示：「餵母奶時，我的肚子會痛！」。下列護理指導何者適宜？",20,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-108-2-maternal-pediatric-058","小明，9 歲，因患白血病被告知需住院至少一個月接受治療，此階段兒童最關心的事為何？",58,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-maternal-pediatric-022","丁女士 30 歲，第二胎，現為產後第二天，其宮底位於臍下一指，惡露呈紅色量中，主訴昨夜睡眠差且感宮縮疼痛不適，當新生兒推出餵奶時，表示想休息並拒絕餵奶，此行為正確的解釋是：",22,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-maternal-pediatric-056","依據娜姬（Nagy）的理論，9 歲兒童對死亡的概念為何？",56,111,"2026-09-04",1788510694363]