[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-072":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-072","nurse-112-2-maternal-pediatric-072",112,2,72,"小芳，17 歲，即將準備接受造血幹細胞移植，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"移植前高劑量的化學治療是要破壞骨髓及癌細胞，使植入的幹細胞有生長空間","急性移植體對抗宿主疾病（GVHD）可能在幹細胞移植後 4～6 個月之間出現","移植過程需採保護性隔離並觀察有無副作用","使用 Hickman 輸注幹細胞後，約需 14～28 天才會開始造血","B",null,[],"本題考點在於急性移植體對抗宿主疾病（GVHD）的發生時間。本題為反向題，錯誤敘述為 B。依 GVHD 分類，急性 GVHD 一般定義發生於移植後 100 天內（典型數週內），主要侵犯皮膚、腸胃道與肝臟；4～6 個月後出現者多屬慢性 GVHD，故 B 將急性 GVHD 定在移植後 4～6 個月屬時間錯置為答案。A 正確，移植前的高劑量化療（conditioning）用以清除骨髓與癌細胞、騰出空間並免疫抑制以利植入。C 正確，移植過程免疫極度低下須採保護性隔離並嚴密監測副作用。D 正確，經 Hickman 等中心靜脈導管輸注幹細胞後，約需 2～4 週（14～28 天）植入生根開始造血。","GVHD 是供者免疫細胞攻擊宿主組織：急性型多在 100 天內、侵犯皮膚（皮疹）、腸道（腹瀉）、肝（膽紅素升）；慢性型在 100 天後、表現類似自體免疫（皮膚硬化、乾燥症候群等）。移植流程可記為「清髓 conditioning →輸注幹細胞→植入（engraftment，約 2～4 週）→監測 GVHD 與感染」。保護性隔離在骨髓抑制與植入前期最關鍵。B 的時間點正落在慢性期，是本題陷阱。",[24,27,29,31],{"term":25,"count":26},"造血幹細胞移植",1,{"term":28,"count":26},"急性與慢性 GVHD",{"term":30,"count":26},"移植前清髓化療",{"term":32,"count":26},"植入時間",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-073","下列何者為評估病童「重度脫水」時會有的症狀或徵象？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-039","有關嬰幼兒呼吸道特性的敘述，下列何者錯誤?",39,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-033","有關壞死性結腸炎（necrotizing enterocolitis）的敘述，下列何者正確？",33,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-031","強強，1 歲 6 個月大，第一次接觸托嬰中心的陌生環境及教保員就大哭大鬧，雖然由固定的教保員照顧，但仍需花費較長的時間才能安穩。有關強強的氣質敘述，下列何者正確？",31,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-055","有關協助雙親面對新生兒死亡，下列護理措施何者最適當？",55,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-009","有關以羊水評估胎兒成熟度之敘述，下列何者正確？",9,108,"2026-09-04",1788510748618]