[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-112-3-產兒科護理學-043","nurse-112-3-maternal-pediatric-043",112,3,43,"有關威爾姆氏腫瘤（Wilms tumor）起源於下列那個器官或系統？",{"A":14,"B":15,"C":16,"D":17},"骨骼","血液","腎臟","腦","C",null,[],"本題考點在於威爾姆氏腫瘤（Wilms tumor，腎母細胞瘤）的起源器官。此為兒童最常見的原發性腎臟惡性腫瘤，源自胚胎期未成熟的腎組織（後腎胚芽），多見於 2～5 歲幼兒，臨床以無痛性腹部腫塊為典型表現，故選 C 腎臟。其餘骨骼（A）、血液（B）、腦（D）分別對應骨肉瘤、白血病、腦瘤等不同來源，與 Wilms tumor 的腎臟起源不符，故正解為 C。","重要護理原則：確診或懷疑 Wilms tumor 時「禁止觸診按壓腹部腫塊」，以免腫瘤包膜破裂造成癌細胞擴散，須在床頭標示。可能合併泌尿生殖系統異常與 WAGR、Beckwith-Wiedemann 症候群。治療以手術切除加化療（±放療）為主，預後相對良好。",[24,27,30,32],{"term":25,"count":26},"威爾姆氏腫瘤",2,{"term":28,"count":29},"腎母細胞瘤",1,{"term":31,"count":29},"後腎胚芽起源",{"term":33,"count":29},"禁止觸診腹部腫塊",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-044","小恩，12 歲，接受化學治療出現掉髮，顯得悶悶不樂，不願離開病房與他人互動。有關其護理措施，下列敘述何者錯誤？",44,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-maternal-pediatric-040","小光，3 個月大，診斷為法洛氏四重畸形，在矯正手術前，依醫囑給與 prostaglandin E 1 （PGE 1 ）的理由，下列敘述何者正確？",40,113,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-1-maternal-pediatric-034","吳小妹，妊娠31週又2天出生，出生體重1,698公克，吳太太至新生兒加護中心探視吳小妹，下列護理處置何者錯誤？",34,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-maternal-pediatric-032","依照艾瑞克森（Erikson）心理社會發展理論，那一個年齡層兒童會將住院或生病病因詮釋為對他的懲罰而產生罪惡感？",32,115,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-107-1-maternal-pediatric-026","出生 3 天的足月新生兒，出生體重為 3,000 公克，採純母乳哺餵，下列何項營養評估的結果為異常﹖",26,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-1-maternal-pediatric-060","宏宏，8 個月大，因支氣管炎住院接受治療，服用口服藥物的護理指導，下列何者正確？",60,108,"2026-09-04",1788510745636]