[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-109-1-產兒科護理學-038","nurse-109-1-maternal-pediatric-038",109,1,38,"有關子宮內膜癌之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"長期使用黃體素是危險因子之一","常見的症狀表現是下腹疼痛","治療方式以化學治療為主","晚停經的婦女較易發生","D",null,[],"本題考點在於子宮內膜癌的危險因子與臨床特徵。依婦科腫瘤學,子宮內膜癌的核心危險因子是長期「無對抗性(unopposed)雌性素」刺激,晚停經者暴露於動情素的時間延長,罹病風險增加,故D正確。A錯誤,長期使用「黃體素」反而具保護作用,真正的危險因子是單獨且長期的動情素;把危險因子說成黃體素方向相反。B錯誤,子宮內膜癌最常見的症狀是「異常子宮出血」(尤其停經後出血),而非下腹疼痛。C錯誤,治療以手術(全子宮切除加雙側輸卵管卵巢切除)為主,而非化學治療為主。因此正確者為D。","子宮內膜癌屬雌激素依賴性(Type I)為主,危險因子環繞「動情素暴露過多」:早經、晚停經、未曾生育、肥胖(脂肪組織芳香化雄性素成動情素)、多囊性卵巢、單獨雌激素補充、Tamoxifen使用等。保護因子則是黃體素與口服避孕藥。警訊症狀是停經後陰道出血,須做子宮內膜取樣。記憶要點:「動情素多=風險高,黃體素=剎車」。可與子宮頸癌(HPV相關)、卵巢癌的危險因子對比複習,避免張冠李戴。",[24,27,30,32],{"term":25,"count":26},"子宮內膜癌",3,{"term":28,"count":29},"手術為主要治療",2,{"term":31,"count":10},"無對抗性雌性素刺激",{"term":33,"count":10},"停經後異常出血",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-maternal-pediatric-039","有關子宮頸抹片檢查之敘述，下列何者正確？",39,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-maternal-pediatric-055","小琪 2 歲，為急性骨髓性白血病（AML）末期。有關瀕死病童的照顧，下列敘述何者較不適當？",55,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-maternal-pediatric-069","小青，2 歲，罹患先天性甲狀腺功能低下（congenital hypothyroidism），下列敘述何者不適當？",69,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-maternal-pediatric-027","有關剖腹產後陰道生產（vaginal birth after cesarean, VBAC）的敘述，下列何者正確？",27,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-maternal-pediatric-071","有關苯酮尿症病童之臨床症狀，下列敘述何者正確？",71,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-maternal-pediatric-035","7 歲的小雄，面對爺爺過世，小雄一直吵著媽媽說爺爺在睡覺，要去找爺爺說話。有關和小雄談論死亡的敘述，下列何者不適當？",35,113,"2026-09-04",1788510713434]