— 健康促進與維護 · EASY · MCQ —
護理師照護一位懷孕 32 週的孕婦。護理師應指導病人若出現下列哪項徵兆需立即回報？
A nurse is caring for a client at 32 weeks gestation. Which warning sign should the nurse instruct the client to report immediately?
- ASudden vision changes or severe headache✓ 正解突然的視力改變或嚴重頭痛
- BIncreased frequency of urination排尿頻率增加
- CMild dependent edema in the ankles腳踝輕微下垂性水腫
- DOccasional Braxton Hicks contractions偶發的 Braxton Hicks 收縮
— Explanation · 中文詳解 —
懷孕 32 週出現視力模糊或劇烈頭痛，可能是子癇前症（Preeclampsia）的警訊，需立即評估血壓與蛋白尿狀況。子癇前症可能迅速惡化為子癇症，危及母嬰生命，必須嚴格監控。其他選項多為正常生理變化。
At 32 weeks of gestation, blurred vision or severe headache may be warning signs of preeclampsia, and blood pressure and proteinuria must be evaluated immediately. Preeclampsia can rapidly progress to eclampsia, threatening both maternal and fetal life, and must be strictly monitored. The other options largely represent normal physiologic changes.
✦ 台美臨床差異
台灣產檢文化較密集，醫師衛教時會特別強調這類警示徵兆，孕婦對此類知識的警覺性相當高。