[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-115-1-產兒科護理學-042","nurse-115-1-maternal-pediatric-042",115,1,42,"小明，16 歲，因為走路跛行住院檢查，今確立診斷為骨肉瘤（osteosarcoma），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"常出現局部持續性疼痛，病灶處出現腫塊及病理性骨折","病童皆需接受截肢手術，需評估失去肢體造成的身體心像紊亂","骨肉瘤是原發性惡性骨腫瘤，好發於青春期","多發生於長骨的幹骺端，尤其是下肢，股骨遠端和脛骨近端","B",null,[],"本題考點在骨肉瘤的流行病學、表現與治療原則。骨肉瘤治療現以術前化學治療縮小腫瘤後，多數個案可施行保留患肢的手術並置換人工關節或植骨，並非全部個案都須截肢，故 B 敘述錯誤。A 正確，持續性局部疼痛、腫塊與病理性骨折是典型表現。C 正確，它是最常見的原發性惡性骨腫瘤，好發於生長速度最快的青春期。D 正確，病灶多位於長骨幹骺端，以股骨遠端與脛骨近端等下肢部位最常見。","骨肉瘤源自成骨細胞，X光可見骨質破壞與日光放射狀骨針、以及考德曼三角，血中鹼性磷酸酶常升高，最常轉移至肺部故須定期胸部影像追蹤。與尤文氏瘤對照：尤文氏瘤源自骨髓內圓形細胞，較常見於骨幹與骨盆，可伴發燒與白血球上升。青少年正處於身體心像與自我認同關鍵期，無論保肢或截肢都需納入身體心像紊亂的評估。可連結化學治療副作用照護與義肢復健概念。",[24,27,29,31],{"term":25,"count":26},"骨肉瘤",2,{"term":28,"count":26},"身體心像紊亂",{"term":30,"count":10},"術前化學治療與患肢保留手術",{"term":32,"count":10},"長骨幹骺端病灶",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-maternal-pediatric-043","小彤接受化學治療中，其白血球檢驗值如下：白血球 1,000 \u002FµL、成熟嗜中性白血球（segment）26%、不成熟嗜中性白血球（band）2%、淋巴球 68%、單核球 4%，小彤的絕對嗜中性白血球（Absolutely Neutrophil Count, ANC）值為多少？",43,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-maternal-pediatric-039","有關經前症候群的敘述，下列何者正確？",39,106,{"webId":44,"stem":45,"number":46,"year":42,"session":26},"nurse-106-2-maternal-pediatric-053","小萱，出生兩天的早產兒，曾有幾次呼吸暫停的現象，現在小萱的呼吸暫停警鈴響了，下列護理措施何者正確？",53,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-1-maternal-pediatric-011","丁女士使用催產素催生，胎兒監視器顯示胎心音早期減速，此時最合宜之措施為何？",11,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-1-maternal-pediatric-055","小美，3 歲，因重積癲癇而入住加護病房照護，下列何者不是以家庭為中心的照護？",55,109,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-110-2-maternal-pediatric-009","護理師執行腹部四段式操作法之主要目的為何？",9,110,"2026-08-06",1787299089555]