[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-030":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-110-1-產兒科護理學-030","nurse-110-1-maternal-pediatric-030",110,1,30,"有關女陰癌之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"早期病變為搔癢、小傷口，但癌症生長快速","容易因直接接觸至鄰近器官而發生局部轉移","早期治療以化學治療為主","術後應採仰臥式，維持大腿 45 度外張，膝關節 90 度彎曲之姿勢","D",null,[],"本題考點是女陰癌（vulvar cancer）的特性與術後照護。考點在於外陰廣泛切除併腹股溝淋巴結廓清術後，為減少傷口張力、促進癒合並利淋巴回流，宜採仰臥、雙側大腿約45度外展、膝關節屈曲的姿勢，故D正確。A錯在女陰癌多為生長相對緩慢、局部進展的鱗狀細胞癌，早期以搔癢與久不癒合的病灶表現，並非快速生長。B錯在女陰癌主要循淋巴途徑轉移至腹股溝淋巴結，並非以直接接觸鄰近器官作為主要局部轉移方式。C錯在早期治療以手術切除為主，而非化學治療。理解女陰癌病理特性與外陰術後減張姿勢是解題核心。","女陰癌好發於停經後婦女，多屬鱗狀細胞癌，危險因子含人類乳突病毒（HPV）感染、外陰上皮內瘤變、慢性外陰營養不良與抽菸；典型症狀為持久搔癢、久不癒合的潰瘍或硬結。擴散以淋巴為主，先至腹股溝與股淋巴結。治療早期以外陰切除（可併前哨或腹股溝淋巴結廓清）為主，晚期輔以放化療。術後照護重點：傷口張力大且靠近會陰易污染，採大腿外展屈膝的減張姿勢、保持傷口清潔乾燥、觀察淋巴水腫與傷口裂開、加強會陰衛生與心理支持。把「淋巴轉移＋手術優先＋減張姿勢」串起即可通盤掌握。",[24,27,29,31],{"term":25,"count":26},"手術為主要治療",2,{"term":28,"count":10},"女陰癌鱗狀細胞癌",{"term":30,"count":10},"腹股溝淋巴轉移",{"term":32,"count":10},"外陰切除術後減張姿勢",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-maternal-pediatric-031","王女士，有糖尿病病史，到院進行產前諮詢。醫護人員會建議她在懷孕前最好接受何項檢驗，以了解其血糖控制之狀況？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-maternal-pediatric-047","有關兒童虐待的敘述，下列何者錯誤？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-maternal-pediatric-061","小凱，5 歲，入院診斷為右下肺葉肺炎，急性期發生呼吸窘迫症狀，下列護理措施何者較不適當？",61,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-maternal-pediatric-019","廖女士，41 歲，G 4 P 4 ，在今天早上 6 點以陰道分娩第四個女兒，現親子同室中，護理師詢問其他家人何時會來醫院，廖女士眼眶泛紅表示：「他們不會來啦，因為這胎又是女兒」，下列回應何者最適當？",19,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-maternal-pediatric-043","小琪，女嬰，新生兒篩檢診斷為先天性腎上腺增生症（congenital adrenal hyperplasia, CAH），護理師提供給小琪父母的護理指導，下列敘述何者最不適當？",43,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-maternal-pediatric-037","在流感好發的季節，一位母親帶著嬰兒來健兒門診詢問護理師，可以接種第一劑流感疫苗的時間，下列何者正確？",37,114,3,"2026-09-04",1788510721856]