[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-025":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":10},"nurse-115-1-產兒科護理學-025","nurse-115-1-maternal-pediatric-025",115,1,25,"有關卵巢癌的致病因素，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"年齡越大，其罹病率較高","初經太晚或停經太早，其罹病率較高","有卵巢癌與乳癌家族史者，其罹病率較高","懷孕與母乳哺餵，其罹病率較低","B",null,[],"本題考點是卵巢癌的致病因素與不間斷排卵假說。依此假說,每次排卵都造成卵巢表皮破損與修復,一生累積的排卵次數愈多,細胞在修復過程中發生突變的機會愈大;初經太晚或停經太早會縮短一生的排卵年數、減少排卵次數,罹病率反而較低,故 B 敘述錯誤。A 正確,發生率隨年齡上升,多數上皮性卵巢癌診斷於停經之後。C 正確,卵巢癌與乳癌家族史反映 BRCA1、BRCA2 等生殖細胞突變,屬明確的高危險族群。D 正確,懷孕與哺乳期間排卵受到抑制,可降低罹病風險,這與假說方向一致。","把危險因子與保護因子照著「排卵次數」這一條軸排開,幾乎所有選項都能推導:增加風險的是初經早、停經晚、未曾生育、不孕與長期未受抑制的排卵;降低風險的是多次懷孕、哺乳、長期口服避孕藥與輸卵管結紮。年齡與家族史屬另一條軸,前者反映突變累積,後者反映生殖細胞層級的 DNA 修復缺陷,BRCA 突變帶因者同時提高乳癌與卵巢癌風險,故家族史須雙向詢問。臨床上卵巢癌被稱為沉默的殺手,原因是早期症狀非特異(腹脹、腹圍增加、消化不良、頻尿、易飽足),常延誤到腹腔擴散才確診;CA-125 可用於治療反應追蹤,但對一般族群的篩檢效力不足,子宮頸抹片也無法偵測卵巢癌,這是常見的認知落差。可延伸複習:上皮性、生殖細胞性與性腺間質性卵巢腫瘤的分類差異,以及卵巢癌的手術分期原則。",[24,26,28,30,32],{"term":25,"count":10},"不間斷排卵假說",{"term":27,"count":10},"排卵次數與風險",{"term":29,"count":10},"BRCA 基因突變",{"term":31,"count":10},"懷孕與哺乳的保護作用",{"term":33,"count":10},"卵巢癌流行病學",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-115-1-maternal-pediatric-026","小華，2 個月大，因被厚棉被蓋住頭部，母親掀開棉被後發現小華呈現無意識，有關其急救措施之敘述，下列何者正確？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-106-1-maternal-pediatric-022","有關奶水不足的主要原因，下列何者錯誤？",22,106,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-106-2-maternal-pediatric-036","有關子宮移位之敘述，下列何者錯誤？",36,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-107-2-maternal-pediatric-074","有關先天性甲狀腺功能低下嬰幼兒之症狀處理，下列何者錯誤？",74,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-038","有關子宮內膜癌之敘述，下列何者正確？",38,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-maternal-pediatric-072","有關早產兒呼吸窘迫症候群的護理措施，下列敘述何者正確？",72,110,"2026-08-06",1787299089400]