護理師評估一位懷孕第二孕期的婦女。哪項健康維持活動是優先的？
A nurse is assessing a pregnant woman in her second trimester. What health maintenance activity is priority?
- AAdministering the rubella vaccine接種德國麻疹疫苗
- BDiscussing signs of preterm labor討論早產徵兆
- CMonitoring fetal kick counts監測胎動次數
- DChecking for gestational diabetes✓ 正解篩檢妊娠糖尿病
在懷孕第二孕期（Second Trimester，約 24-28 週），護理師的照護重點在於早期發現妊娠併發症。妊娠糖尿病篩檢（Glucose Challenge Test, GCT）是此階段的常規健康維持活動，旨在透過早期發現並介入，降低母嬰風險。其他選項的時間點或適應症並不適用於常規的第二孕期健康維護。
During the second trimester (approximately 24-28 weeks), the nurse's care focus is on early detection of pregnancy complications. Gestational diabetes screening (Glucose Challenge Test, GCT) is a routine health-maintenance activity in this stage; it aims to reduce maternal and fetal risk through early identification and intervention. The other options either do not match this timeline or are not appropriate routine second-trimester health-maintenance activities.
台灣與美國在產檢時程安排上高度相似，皆遵循 ACOG 指引，在 24-28 週進行口服葡萄糖耐受試驗（OGTT）。