— 健康促進與維護 · MEDIUM · SATA —
護理師評估一位懷孕第二孕期的孕婦，下列哪些發現是預期中的？（選所有適合的）
A nurse is assessing a pregnant client in her second trimester. Which findings should the nurse expect to observe? (Select all that apply.)
- AQuickening✓ 正解胎動感
- BColostrum secretion✓ 正解初乳分泌
- CLineas nigra✓ 正解妊娠線
- DMorning sickness晨吐
- EFundal height at the umbilicus✓ 正解宮底高度達臍部
— Explanation · 中文詳解 —
第二孕期（14-26週）常見生理變化包括：胎動感（Quickening，通常 16-20 週出現）、乳房分泌初乳、黑色素沈澱導致子宮中線變深（Linea nigra），以及子宮底高度升高至肚臍水平。早晨孕吐（Morning sickness）通常在第一孕期結束後減輕。
Common physiological changes in the second trimester (14-26 weeks) include quickening (typically perceived at 16-20 weeks), colostrum secretion from the breasts, hyperpigmentation producing the linea nigra along the abdominal midline, and elevation of the fundal height to the level of the umbilicus. Morning sickness usually subsides after the first trimester.
✦ 台美臨床差異
台灣產檢重視超音波監測胎兒發育，對生理變化的衛教與美國相似，但台灣孕婦更關注飲食禁忌與傳統補養。