一位 30 歲女性計畫懷孕，護理師應提供哪些產前保健建議？（選所有適合的）
A 30-year-old client is planning for pregnancy. Which prenatal care recommendations should the nurse provide? (Select all that apply.)
- AIncrease folic acid intake✓ 正解增加葉酸攝取量
- BAvoid consumption of raw fish✓ 正解避免食用生魚
- CLimit caffeine intake to less than 200 mg daily✓ 正解將咖啡因攝取量限制在每日 200 mg 以下
- DStart high-intensity interval training daily每天開始高強度間歇訓練
- EMaintain updated immunization records✓ 正解維持更新的免疫接種紀錄
計畫懷孕前的準備包含：攝取葉酸（預防神經管缺陷）、避免生食（減少李斯特菌風險）、限制咖啡因（避免流產或早產風險）、確認疫苗接種狀況（如德國麻疹）。D 錯誤：懷孕期間應維持規律運動，但若非慣常高強度運動者，不建議貿然開始高強度間歇訓練。
Preconception preparation includes adequate folic acid intake (to prevent neural tube defects), avoidance of raw foods (to reduce Listeria risk), limited caffeine intake (to avoid risk of miscarriage or preterm birth), and verification of immunization status (such as rubella). Option D is incorrect: regular exercise should be maintained during pregnancy, but suddenly starting high-intensity interval training is not recommended for those who are not already accustomed to such exercise.
美國有完善的孕前諮詢服務；台灣民眾較常在懷孕後才開始接受產檢與衛教，孕前諮詢意識尚待提升。