[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-069":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-112-2-產兒科護理學-069","nurse-112-2-maternal-pediatric-069",112,2,69,"小美，5 歲，罹患白血病，正處於引導緩解期，對於此階段的護理照護指導，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"監測小美的血球計數，接觸前後需要洗手，執行侵入性治療嚴守無菌原則","依醫囑注射顆粒球生成因子，提高小美的嗜中性白血球數，提升防禦能力","此階段會採取密集和積極的治療，主要透過人工血管進行化學治療","若接受脊髓腔內（intrathecal）注射化學藥物後，需鼓勵立即下床活動避免血栓產生","D",null,[],"本題考點在於脊髓腔內化療後的臥床照護。本題為反向題，錯誤敘述為 D。依鞘內注射（intrathecal）後照護，因藥物注入蛛網膜下腔並移除部分腦脊髓液，術後須平躺臥床休息數小時以減少腦脊髓液滲漏引起的姿位性頭痛，並非鼓勵立即下床活動，故 D 錯誤為答案。A 正確，白血病病童免疫低下，須監測血球、確實洗手並嚴守無菌以防感染。B 正確，依醫囑注射顆粒球生成因子（G-CSF）可提升嗜中性白血球、增強防禦力。C 正確，引導緩解期採密集積極化療，常經人工血管（如中心靜脈導管）給藥以保護血管。","鞘內注射用於預防或治療白血病的中樞神經侵犯（因多數化療藥難通過血腦障壁）。術後與腰椎穿刺相同，須平躺休息以防低腦壓性（姿位性）頭痛與 CSF 滲漏，並鼓勵補充水分。引導緩解期目標是快速達到完全緩解、清除大量白血病細胞，屬高強度治療期，感染防護（洗手、無菌、G-CSF 支持）為照護核心。判題關鍵在「穿刺後臥床 vs 立即下床」的對立。",[24,27,29,31],{"term":25,"count":26},"急性白血病引導緩解期",1,{"term":28,"count":26},"鞘內注射",{"term":30,"count":26},"腰椎穿刺後臥床",{"term":32,"count":26},"嗜中性球與感染防護",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-070","初診斷為急性淋巴性白血病童有發生腫瘤溶解症候群（Tumor Lysis Syndrome）之危機，下列敘述何者錯誤？",70,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-036","有關預防造成新生兒猝死之睡眠環境的護理指導，下列敘述何者正確？",36,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-030","關於 9 歲學齡期兒童的發展及生長，下列敘述何者最適當？",30,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-028","有關兒童各系統生長發展之敘述，下列何者正確？",28,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-052","小維，自然產出生的足月兒。出生後的第二天，小維媽媽親餵母乳時發現小維皮膚呈現深黃色，血液檢驗報告其總膽紅素值（Total Serum Bilirubin）為 12 mg\u002FdL。護理師初步的護理評估及判斷為何？",52,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-006","有關胚胎附屬器官發育的敘述，下列何者正確？",6,108,"2026-09-04",1788510748586]