[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-112-1-maternal-pediatric-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":30,"lastmod":59},"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-112-1-產兒科護理學-037","nurse-112-1-maternal-pediatric-037",112,1,37,"有關絨毛膜癌的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"約有 50%由葡萄胎惡性病變衍生而來","常見轉移之部位為肺臟","血清 hCG 值升高是診斷絨毛膜癌最重要的依據","以手術治療為主，放射線治療為輔","D",null,[],"本題考點為絨毛膜癌的疾病特性與治療原則,屬反向題,須找出敘述錯誤者。錯誤敘述為 D:絨毛膜癌對化學治療高度敏感,治療以化學治療為主(如 methotrexate),而非以手術為主、放射線為輔,故 D 錯而為答案。A 正確,絨毛膜癌約半數繼發於葡萄胎的惡性轉變;B 正確,肺臟是最常見的轉移部位,因滋養細胞經血行轉移;C 正確,血清 hCG 是絨毛膜癌診斷與追蹤療效的最重要腫瘤指標。故治療方式敘述有誤者為 D。","絨毛膜癌屬妊娠滋養細胞腫瘤,源自滋養層細胞,分泌 hCG,故 hCG 既是診斷也是療效與復發監測指標。其對化療極敏感,即使已轉移治癒率仍高,故化療為首選而非手術。轉移最常見肺(咳嗽、咳血),其次陰道、腦、肝。記憶:滋養細胞腫瘤=hCG 標記+化療為主+肺轉移優先。",[24,26,28],{"term":25,"count":10},"絨毛膜癌",{"term":27,"count":10},"hCG 腫瘤指標",{"term":29,"count":10},"化學治療為主",[31,35,40,45,50,55],{"webId":32,"stem":33,"number":34,"year":9,"session":10},"nurse-112-1-maternal-pediatric-038","王女士有打噴嚏、咳嗽、大笑所引起無法自主控制膀胱的漏尿，是屬於下列那種尿失禁？",38,{"webId":36,"stem":37,"number":38,"year":9,"session":39},"nurse-112-2-maternal-pediatric-054","小強，13 歲大，罹患骨肉瘤（Osteosarcoma），經歷化學治療與手術治療後，癌細胞仍轉移到肺部。當小強在生命末期時，護理師可評估到的生理變化，下列敘述何者正確？",54,2,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-113-1-maternal-pediatric-018","方小妹，39週頭產式出生，下列何者新生兒身體評估結果為異常發現？",18,113,{"webId":46,"stem":47,"number":48,"year":49,"session":39},"nurse-114-2-maternal-pediatric-016","陳女士，產後第三天，早上睡覺起來向護理師表示：「我的乳房變硬，摸起來熱熱的，但不會痛。」下列護理措施何者最適當？",16,114,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-maternal-pediatric-020","產後純母乳哺餵的婦女，坐月子期間最好的避孕方法為：",20,106,{"webId":56,"stem":57,"number":38,"year":58,"session":10},"nurse-107-1-maternal-pediatric-054","有關雷氏症候群（Reye’s syndrome）病童的臨床症狀，下列敘述何者正確？",107,"2026-09-04",1788510742742]