護理師與懷孕第二孕期的孕婦討論營養，何者為正確建議？
A nurse is discussing nutrition with a client who is pregnant in her second trimester. Which dietary recommendation is appropriate?
- ALimit iron-rich foods to prevent constipation限制富含鐵的食物攝取以預防便秘
- BIncrease fiber and fluid intake to prevent constipation✓ 正解增加纖維和水分攝取以預防便秘
- CAvoid all fish products to prevent mercury exposure避免所有魚類產品以預防汞暴露
- DIncrease daily caloric intake by 500 calories每日熱量攝取增加 500 卡路里
孕期第二、三孕期因荷爾蒙改變與子宮壓迫，常發生便秘。增加纖維與水分攝取是緩解此症狀的非藥物首選。D選項過量，通常僅需增加 300-350 卡路里；A選項錯誤，孕期需額外補充鐵質；C選項錯誤，部分深海魚類含有 Omega-3，只要避開高汞魚類即可。
Constipation commonly occurs in the second and third trimesters of pregnancy because of hormonal changes and pressure from the uterus. Increasing fiber and fluid intake is the first-line nonpharmacologic measure to relieve this symptom. Option D is excessive—an additional intake of only about 300-350 calories is generally needed. Option A is incorrect because additional iron supplementation is required during pregnancy. Option C is incorrect because some deep-sea fish contain omega-3 fatty acids and can be eaten as long as high-mercury fish are avoided.
台灣孕婦常攝取中藥或補品，護理師需特別詢問其對營養攝取的影響與安全性。