[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-075":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-108-2-產兒科護理學-075","nurse-108-2-maternal-pediatric-075",108,2,75,"小鋼，7 歲，罹患威廉氏腫瘤（Wilms tumor）第三期，即將接受腎臟切除術。下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"屬無觸痛感之良性腫瘤","術前可按摩病童腹部，減輕腫脹不適","第三期腫瘤局限於腎臟及周邊組織，以腎臟切除手術即可完全根除","需監測腎功能、血壓及輸出入量","D",null,[],"本題考點為威廉氏腫瘤（Wilms tumor，腎母細胞瘤）的性質、術前禁忌與照護。依腫瘤學，此瘤影響腎功能與血壓且手術涉及腎切除，故須監測腎功能、血壓及輸出入量，D 正確。A 錯：威廉氏腫瘤是惡性腫瘤，非良性。B 錯：術前「禁止」按摩或觸壓腹部腫塊，以免包膜破裂造成腫瘤細胞擴散。C 錯：第三期腫瘤已超出腎臟範圍（如局部淋巴或殘存病灶），單靠手術無法完全根除，須合併化療甚至放療，故正解為 D。","威廉氏腫瘤好發於 2～5 歲，典型為無痛性腹部腫塊，可伴高血壓（腫瘤壓迫致腎素上升）與血尿。護理鐵則「Do NOT palpate the abdomen」並於床頭標示，因觸診加壓可能使腫瘤破裂播散。分期 I～V 決定治療：早期手術切除，III 期以上須手術＋化療（放線菌素 D、vincristine）±放療。監測對側腎功能尤重要，因切除單腎後仰賴另一腎維持。記憶法：「威廉別亂摸，惡性要監腎壓」。",[24,26,28,31],{"term":25,"count":10},"威廉氏腫瘤",{"term":27,"count":10},"禁觸診腹部",{"term":29,"count":30},"惡性腫瘤分期",1,{"term":32,"count":30},"腎功能與血壓監測",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-maternal-pediatric-076","5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-109-2-maternal-pediatric-012","有關待產婦之護理，下列敘述何者錯誤？",12,109,{"webId":44,"stem":45,"number":46,"year":47,"session":30},"nurse-110-1-maternal-pediatric-026","承上題，此時護理師需優先注意的現象為何？",26,110,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-111-1-maternal-pediatric-064","小華，診斷主動脈狹窄（Coarctation of Aorta）入院，有關其身體評估之敘述，下列何者最適當？",64,111,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-2-maternal-pediatric-028","有關於胎兒與新生兒免疫系統之敘述，下列何者正確？",28,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-maternal-pediatric-042","有關扁桃腺切除（tonsillectomy）術後飲食之護理指導，下列敘述何者適當？",42,113,"2026-09-04",1788510707438]