[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-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-113-3-產兒科護理學-043","nurse-113-3-maternal-pediatric-043",113,3,43,"3 歲的小萱出現發燒、臉色蒼白、腹痛，經醫師確診為神經母細胞瘤第三期，有關提供父母的護理指導，下列敘述何者不適當？",{"A":14,"B":15,"C":16,"D":17},"神經母細胞瘤出現的症狀與壓迫部位有關","因腫瘤已超過身體中線，手術已無法完全切除","需抽血監測兒茶酚胺（catecholamine）以確認是否轉移","骨髓檢查是要確認小萱骨髓是否受到侵犯","C",null,[],"本題考點在於神經母細胞瘤（neuroblastoma）的病理與衛教內容正確性。本題為反向題，不適當者為 C。兒茶酚胺（catecholamine，如尿中 VMA、HVA）的檢測是用於「診斷與追蹤治療反應」的腫瘤標記，並非用來確認是否轉移，故 C 敘述不適當。A 神經母細胞瘤源自交感神經節，症狀與腫瘤壓迫部位有關，正確；B 第三期腫瘤已越過身體中線，手術難以完全切除，正確；D 骨髓檢查用於評估骨髓是否受侵犯（常見轉移處），正確。判斷關鍵在於區分檢查的用途是診斷追蹤還是判定轉移。","神經母細胞瘤是嬰幼兒常見的顱外實質固態瘤，源自腎上腺髓質或交感神經節，會分泌兒茶酚胺，故尿中 VMA\u002FHVA 上升可作診斷與療效追蹤指標。分期依是否越過中線、有無淋巴結與遠端轉移界定；骨髓與骨骼是常見轉移部位，故需骨髓檢查。可連結 N-myc 基因擴增為重要預後因子。",[24,27,30,32],{"term":25,"count":26},"神經母細胞瘤",2,{"term":28,"count":29},"兒茶酚胺 VMA\u002FHVA",1,{"term":31,"count":29},"腫瘤分期",{"term":33,"count":29},"骨髓侵犯",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-maternal-pediatric-044","有關甲狀腺功能亢進（hyperthyroidism）的照護措施，下列敘述何者最不適當？",44,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-114-2-maternal-pediatric-040","王小妹，6 個月，因熱性痙攣（febrile seizure）出現全身抽搐，王小妹的母親詢問護理師：「再出現全身抽搐時，該如何處置？」，下列護理指導何者最適當？",40,114,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-1-maternal-pediatric-034","林小妹，27 週早產兒，出生體重 860 公克，出生後胸部 X 光呈現毛玻璃樣影像，有關呼吸窘迫症候群（respiratory distress syndrome）的醫療處置與護理措施，下列敘述何者正確？",34,115,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"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":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-1-maternal-pediatric-016","有關剖腹產的敘述，下列何項錯誤？",16,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-maternal-pediatric-050","有關兒童白血病的敘述，下列何者正確？",50,109,"2026-09-04",1788510753348]