[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-043":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-114-1-產兒科護理學-043","nurse-114-1-maternal-pediatric-043",114,1,43,"有關初診斷白血病的臨床表徵，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"血壓下降、心律不整","呼吸困難、臉潮紅","發燒、疲憊","腹痛、少尿","C",null,[],"本題考點在於白血病初診斷時的典型臨床表徵。白血病因骨髓被異常白血球占據，導致正常造血受抑，表現為三大骨髓衰竭徵象：貧血（疲憊、蒼白）、感染（發燒，因功能性白血球不足）、出血（瘀斑，因血小板減少），故 C「發燒、疲憊」最能反映此病理，選 C。A 血壓下降、心律不整非白血病初期典型，較屬循環或電解質問題。B 呼吸困難、臉潮紅與白血病表徵不符。D 腹痛、少尿非白血病主要初症，較指向腎臟或腸胃問題，故均不適當。","白血病病理主軸是骨髓被芽細胞（blast）填塞，排擠正常造血：紅血球↓→貧血疲憊蒼白、正常白血球↓→反覆發燒感染、血小板↓→瘀斑鼻血牙齦出血。此外芽細胞浸潤可致肝脾腫大、骨痛、淋巴結腫。記憶三聯徵：Anemia、Infection、Bleeding。診斷靠骨髓穿刺確認芽細胞比例。",[24,26,28,30],{"term":25,"count":10},"白血病",{"term":27,"count":10},"骨髓衰竭三聯徵",{"term":29,"count":10},"貧血",{"term":31,"count":10},"血小板減少",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-maternal-pediatric-044","小雄，3歲，罹患威爾姆氏腫瘤（Wilms tumor）第三期，有關護理照護，下列敘述何者錯誤？",44,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-maternal-pediatric-040","何小妹，8 歲，罹患先天性心臟病，需服用毛地黃，母親詢問服藥注意事項，下列回答何者錯誤？",40,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-maternal-pediatric-034","黃太太產後到嬰兒室探視因病理性黃疸接受照光治療的黃小弟，下列敘述何者正確？",34,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-022","有關陰道生產後評估結果的敘述，下列何者為異常現象？",22,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-066","有關以家庭為中心的兒童緩和安寧醫療照護，下列何者錯誤？",66,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-maternal-pediatric-020","有關產後痛（after pain）的護理，下列何者錯誤？",20,109,"2026-09-04",1788510758017]