[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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":22},"nurse-113-2-產兒科護理學-041","nurse-113-2-maternal-pediatric-041",113,2,41,"下列何者為急性淋巴性白血病最有效之鑑別診斷？",{"A":14,"B":15,"C":16,"D":17},"血液檢查","骨髓抽吸檢查","淋巴組織切片檢查","腦脊髓液檢查","B",null,[],"本題考點在於急性淋巴性白血病（ALL）的確診檢查。白血病是骨髓造血細胞的惡性增生，最有效的鑑別診斷是骨髓抽吸（併骨髓切片）檢查，直接觀察骨髓中芽細胞（blast）比例（≥20–25% 可確診）並做免疫分型與細胞遺傳學分析，故選 B。A 血液檢查（全血球計數與周邊血抹片）可見芽細胞、貧血、血小板低下，有提示性但不足以確診與分型，非最有效鑑別。C 淋巴組織切片主要用於淋巴瘤診斷，非白血病首選。D 腦脊髓液檢查用於評估中樞神經是否受侵犯（分期與治療用），並非診斷白血病本身的依據。本題須掌握骨髓檢查為白血病確診黃金標準，並區分周邊血、淋巴切片與腦脊髓液各自的角色。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"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？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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":27,"session":22},"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？",6,1783840796485]