護理師對第二孕期孕婦進行健康促進指導，下列哪項行動表現出正確理解？
Which action by the nurse demonstrates an understanding of health promotion for a pregnant client in her second trimester?
- ASuggest a high-intensity aerobic exercise regimen建議進行高強度有氧運動計畫
- BAdvise against sleeping in a supine position✓ 正解建議避免仰臥睡眠
- CEmphasize avoiding all weight-bearing exercises強調避免所有負重運動
- DRecommend increasing caffeine intake for fatigue建議增加咖啡因攝取以對抗疲勞
第二孕期（約懷孕第13至27週）是胎兒快速成長的階段，子宮體積顯著增大，這會對母體生理產生影響。護理師在進行健康促進指導時，必須考量這些生理變化，提供基於證據、能確保母嬰安全的建議。正確的健康促進措施旨在緩解孕期不適、預防併發症，並鼓勵孕婦維持健康的生活方式。 避免仰臥位是此階段的重要指導，因為這直接關係到孕婦的血液動力學穩定性和胎盤灌流。其他建議則需權衡潛在風險與益處，確保所有行動皆有利於健康懷孕。護理師的專業知識在此扮演關鍵角色，引導孕婦做出明智的健康選擇。
The second trimester (approximately weeks 13 to 27 of pregnancy) is a period of rapid fetal growth, and the size of the uterus increases significantly, which affects the mother's physiology. When providing health-promotion teaching, the nurse must consider these physiologic changes and offer evidence-based recommendations that ensure maternal and fetal safety. Appropriate health-promotion measures aim to relieve pregnancy-related discomfort, prevent complications, and encourage the pregnant client to maintain a healthy lifestyle. Avoiding the supine position is an important instruction during this stage because it directly affects the client's hemodynamic stability and placental perfusion. Other recommendations require weighing potential risk and benefit to ensure that all actions support a healthy pregnancy. The nurse's professional knowledge plays a key role in guiding pregnant clients to make informed health decisions.
關於孕期姿勢、咖啡因攝取限制和運動建議，美國和台灣的產科臨床指南和衛教內容高度一致。例如，兩地皆強調在懷孕中後期避免仰臥位，並建議適度、安全的運動。這些建議都基於國際醫學共識，旨在保障母嬰安全與健康。