[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-050":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-109-1-產兒科護理學-050","nurse-109-1-maternal-pediatric-050",109,1,50,"有關兒童白血病的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"兒童最常發生的是慢性骨髓性白血病","急性淋巴球性白血病好發於 2～6 歲兒童","發病年齡與白血病的預後無關","兒童白血病的確診檢查為腰椎穿刺","B",null,[],"本題考點在於兒童白血病的流行病學與診斷。依血液腫瘤學,兒童最常見的白血病是「急性淋巴球性白血病(ALL)」,其發病高峰落在2至6歲的學齡前兒童,故B正確。A錯誤,兒童最常見者為急性淋巴球性白血病,而非慢性骨髓性白血病(後者多見於成人)。C錯誤,發病年齡與預後有關,ALL預後最佳年齡約為1至10歲(特別2至6歲),小於1歲或大於10歲預後較差,故年齡是重要預後因子。D錯誤,白血病的確診檢查是「骨髓穿刺與切片」,腰椎穿刺是用來評估中樞神經是否侵犯與鞘內化療,並非確診工具。因此正確者為B。","ALL為兒童最常見惡性腫瘤,好發2至6歲,臨床表現為骨髓被白血病細胞取代所致的三系血球低下:貧血(蒼白倦怠)、血小板低(瘀青出血)、正常白血球功能不足(反覆感染發燒),加上骨痛、肝脾淋巴結腫大。確診靠骨髓檢查(芽細胞>20–25%),腰椎穿刺用於分期(CNS侵犯)與鞘內給藥。良好預後因子:年齡1–10歲、白血球數低、早期治療反應佳、無特定不良染色體。記憶要點:「ALL、2–6歲、骨髓確診、腰穿看中樞」。可連結化療併發症與感染防護概念延伸。",[24,26,28,30],{"term":25,"count":10},"急性淋巴球性白血病 ALL",{"term":27,"count":10},"好發2-6歲",{"term":29,"count":10},"骨髓穿刺確診",{"term":31,"count":10},"年齡為預後因子",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-051","下列何者是幼兒泌尿道感染常見的致病菌？",51,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-maternal-pediatric-067","小漢 8 歲，罹患血友病（hemophilia），下列護理措施何者最適當？",67,2,{"webId":43,"stem":44,"number":10,"year":45,"session":41},"nurse-110-2-maternal-pediatric-001","王女士 30 歲，第一次懷孕，詢問有關人性化生產準備，下列護理師的回應何者較不適當？",110,{"webId":47,"stem":48,"number":49,"year":50,"session":41},"nurse-111-2-maternal-pediatric-039","劉女士，28 歲，因外陰部搔癢、排尿時有灼熱感並有濃稠白色的陰道分泌物，內診時可見陰道壁有乳酪狀白色附著物，最有可能是下列何種病原感染？",39,111,{"webId":52,"stem":53,"number":54,"year":55,"session":54},"nurse-112-3-maternal-pediatric-003","張女士，懷孕 30 週，主訴近期常感覺頻尿及偶有漏尿十分困擾，下列護理指導何者較不適當？",3,112,{"webId":57,"stem":58,"number":59,"year":60,"session":54},"nurse-113-3-maternal-pediatric-047","有關人工肛門造瘻口之術後護理指導，下列何者較適當？",47,113,"2026-09-04",1788510713563]