[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-109-1-產兒科護理學-075","nurse-109-1-maternal-pediatric-075",109,1,75,"有關威廉氏腫瘤（Wilms tumor）之可能出現的臨床表徵，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"疼痛","低血壓","貧血","疲倦","B",null,[],"本題考點在於威廉氏腫瘤（Wilms tumor，腎母細胞瘤）的臨床表徵。依其病理，Wilms tumor 常因腫瘤壓迫腎組織活化腎素-血管收縮素系統（renin 分泌增加）而導致高血壓，而非低血壓，故 B「低血壓」為錯誤敘述、即答案。A 的疼痛可因腫瘤增大、腹部脹壓或出血而出現。C 的貧血可因腫瘤出血或慢性疾病導致。D 的疲倦為腫瘤病童常見的全身性表現。故除 B 應為「高血壓」外，A、C、D 皆為可能表徵。此外，威廉氏腫瘤最典型表現為無痛性腹部腫塊，觸診時應避免用力按壓以防腫瘤破裂擴散。","記憶重點：Wilms tumor＝兒童最常見腎臟惡性腫瘤，典型「無痛性單側腹部腫塊」＋「高血壓（腎素機轉）」＋血尿。護理關鍵是床頭標示「勿觸診腹部（Do not palpate abdomen）」，避免包膜破裂使腫瘤細胞播散。此題以「低血壓」替換「高血壓」設誘答，理解腎素機轉即可辨識。",[24,26,28,30],{"term":25,"count":10},"威廉氏腫瘤\u002F腎母細胞瘤",{"term":27,"count":10},"腎素造成高血壓",{"term":29,"count":10},"無痛性腹部腫塊",{"term":31,"count":10},"避免觸診防破裂",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-maternal-pediatric-076","小珍，8 歲，第 1 型糖尿病病童。幾天來出現噁心、嘔吐、易口渴症狀，現因呼吸、心跳快且深而到急診。Blood sugar 780 mg\u002FdL、K + ：5.0 mEq\u002FL、Na + ：138 mEq\u002FL、Urine sugar 3+、ketone+。由上述症狀評估小珍可能出現的問題為：",76,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-maternal-pediatric-012","有關生產疼痛之敘述，下列何者錯誤？",12,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-maternal-pediatric-026","下列那一個新生兒篩檢項目為檢測性聯染色體隱性遺傳疾病？",26,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-maternal-pediatric-064","小真，6 個月大，體重 7 公斤，剛接受完開心手術入住心臟外科加護病房，有關腎臟衰竭之臨床表徵，下列何者錯誤？",64,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-maternal-pediatric-028","有關賦權（empowerment）在兒科護理照護的應用，下列敘述何者錯誤？",28,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-maternal-pediatric-022","有關產後血栓性靜脈炎之敘述，下列何者正確？",22,114,"2026-09-04",1788510713859]