[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-maternal-pediatric-070":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":26},"nurse-109-2-產兒科護理學-070","nurse-109-2-maternal-pediatric-070",109,2,70,"小美 5 歲，出現發燒、臉色蒼白、虛弱、肚子痛，經醫師確診為神經母細胞瘤第三期，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"小美腫瘤已經出現轉移，因此無法完全切除腫瘤","小美的症狀會依腫瘤位置而出現不同的疾病進展","可以推測小美已經轉移至骨髓、骨骼、肝臟等處","如果腫瘤轉移至眼睛，小美會有上眼瞼下垂症狀","C",null,[],"本題考點在於神經母細胞瘤(neuroblastoma)第三期的疾病範圍,屬找最不適當者。依國際分期,第三期為腫瘤局部擴展、跨越中線或無法完全手術切除,但「尚未」發生遠端轉移;C「可推測已轉移至骨髓、骨骼、肝臟等處」是第四期的表現,套用於第三期並不適當,故選C。A第三期腫瘤範圍大、常無法完全切除,敘述合理;B症狀確實隨腫瘤原發位置不同而異;D若轉移至眼窩可出現眼瞼下垂、眼周瘀斑即浣熊眼,屬正確的臨床知識,三者皆恰當。","神經母細胞瘤源自交感神經節或腎上腺髓質,好發5歲以下。分期:1至2期局部可切、3期局部跨中線不可全切、4期遠端轉移至骨、骨髓、肝、皮膚、4S嬰兒特殊型可自行消退。腫瘤標記VMA與HVA上升。眼窩轉移致浣熊眼。",[24,27,29,31],{"term":25,"count":26},"神經母細胞瘤分期",1,{"term":28,"count":26},"第三期定義",{"term":30,"count":26},"遠端轉移",{"term":32,"count":26},"眼窩轉移表現",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-maternal-pediatric-071","癌症病童接受治療期間，有關疫苗接種之敘述，下列何者最不適當？",71,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-maternal-pediatric-007","妊娠各時期的孕婦心理反應會因生理的改變而產生變化。第一妊娠期婦女的心理反應，下列敘述何者最適當？",7,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-maternal-pediatric-021","教導產婦執行產後運動時，膝胸臥式的主要目的為何？",21,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-maternal-pediatric-059","有關猩紅熱的臨床表徵，下列敘述何者正確？",59,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-maternal-pediatric-003","有關懷孕期無壓力試驗（Non-stress test, NST）的敘述，下列何者正確？",3,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-maternal-pediatric-047","關於先天性食道閉鎖合併遠端氣管食道瘻管之新生兒術前護理措施，下列何者最適當？",47,114,"2026-09-04",1788510717680]