[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-110-1-maternal-pediatric-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-110-1-產兒科護理學-030","nurse-110-1-maternal-pediatric-030",110,1,30,"有關女陰癌之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"早期病變為搔癢、小傷口，但癌症生長快速","容易因直接接觸至鄰近器官而發生局部轉移","早期治療以化學治療為主","術後應採仰臥式，維持大腿 45 度外張，膝關節 90 度彎曲之姿勢","D",null,[],"本題考點是女陰癌（vulvar cancer）的特性與術後照護。考點在於外陰廣泛切除併腹股溝淋巴結廓清術後，為減少傷口張力、促進癒合並利淋巴回流，宜採仰臥、雙側大腿約45度外展、膝關節屈曲的姿勢，故D正確。A錯在女陰癌多為生長相對緩慢、局部進展的鱗狀細胞癌，早期以搔癢與久不癒合的病灶表現，並非快速生長。B錯在女陰癌主要循淋巴途徑轉移至腹股溝淋巴結，並非以直接接觸鄰近器官作為主要局部轉移方式。C錯在早期治療以手術切除為主，而非化學治療。理解女陰癌病理特性與外陰術後減張姿勢是解題核心。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"nurse-106-1-maternal-pediatric-001","王女士，產後第 2 天，孕產史為 G 1 P 1 ，為越南籍配偶，由婆婆陪伴照顧，婆婆堅持產後一定要喝生化湯，此時護理師該如何處置？",106,{"webId":28,"stem":29,"number":30,"year":26,"session":10},"nurse-106-1-maternal-pediatric-002","有關現今產科照護發展趨勢的敘述，下列何者正確？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"nurse-106-1-maternal-pediatric-003","許女士，懷孕 30 週，這兩週血壓上升，尿液檢查也有異常反應，醫師給予胎兒生理活動評估（BPP），有關此評估之敘述下列何者正確？",3,{"webId":36,"stem":37,"number":38,"year":26,"session":10},"nurse-106-1-maternal-pediatric-004","下列何者為懷孕之確實徵候？①聽診到胎心音 ②月經未現 ③觸診到胎兒四肢的活動 ④超音波掃描到妊娠囊 ⑤觸摸到胎兒的外形輪廓",4,{"webId":40,"stem":41,"number":42,"year":26,"session":10},"nurse-106-1-maternal-pediatric-005","有關妊娠期婦女胃腸系統平滑肌鬆弛所產生之生理變化，下列何者正確？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"nurse-106-1-maternal-pediatric-006","有關妊娠期泌尿系統的變化情形之敘述，下列何者正確？",6,1783840762911]