一位處於懷孕中期的孕婦對運動表示擔憂。護理師應提供什麼建議？
A pregnant client in her second trimester expresses concern about exercise. What should the nurse advise?
- AEngage in moderate-intensity exercise unless medically contraindicated✓ 正解除非有醫療禁忌，否則從事中等強度的運動
- BOnly perform exercises while lying in a supine position僅在仰臥姿勢下進行運動
- CBegin a rigorous weight-lifting program to prepare for labor開始嚴格的重量訓練計畫以準備分娩
- DAvoid all physical activity to protect the fetus避免所有體力活動以保護胎兒
對於無醫學禁忌的孕婦，適度的規律運動對母體與胎兒均有益處，能控制體重並減少腰痛。D 錯誤：完全不活動反而增加靜脈栓塞風險；C 錯誤：懷孕期不宜進行極高強度的重量訓練；B 錯誤：平躺（仰臥）會因壓迫下腔靜脈導致回流減少，懷孕中期後應避免。
For pregnant women without medical contraindications, regular moderate-intensity exercise benefits both mother and fetus by helping control weight and reducing back pain. Option D is incorrect because complete inactivity actually increases the risk of venous thromboembolism. Option C is incorrect because very high-intensity weight lifting is not appropriate during pregnancy. Option B is incorrect because the supine position can compress the inferior vena cava and reduce venous return, so it should be avoided after the second trimester.
美國 ACOG 針對懷孕運動有詳細指引，台灣醫師早期傾向保守建議，現已逐漸與國際接軌鼓勵孕期維持運動。