— 健康促進與維護 · HARD · SATA —
護理師對第三孕期的孕婦進行衛教。應提醒個案需立即回報的警訊為何？（選所有適合的）
A nurse is providing education to a pregnant client in the third trimester. Which warning signs should the nurse teach the client to report immediately? (Select all that apply.)
- ASudden, severe headache✓ 正解突然且嚴重的頭痛
- BVisual disturbances, such as blurred vision✓ 正解視覺障礙，例如視力模糊
- CDecreased fetal movement✓ 正解胎動減少
- DMild ankle edema輕微踝部水腫
- EEpigastric pain✓ 正解上腹部疼痛
— Explanation · 中文詳解 —
第三孕期需嚴防子癲前症，其症狀包含嚴重頭痛、視力模糊、上腹痛與急速水腫。胎動減少則可能暗示胎兒窘迫，均須立即就醫。D 選項錯誤：輕微腳踝水腫是懷孕中後期常見的生理現象，通常透過休息、抬腳即可緩解，不屬於緊急回報範疇。
In the third trimester, preeclampsia warning signs include severe headache, visual disturbances, and epigastric pain (suggesting hepatic involvement). Decreased fetal movement may indicate fetal distress and warrants immediate evaluation. Mild ankle edema is a common physiologic finding in late pregnancy, usually relieved by rest and elevation, and is not urgent.
✦ 台美臨床差異
台灣孕婦對於「數胎動」的衛教非常重視，因台灣產前檢查頻率高，這類衛教在每次產檢皆會重複確認。