護理師正在為一位懷孕 10 週的初產婦提供指導。該產婦詢問孕期體育活動的安全性。護理師最合適的回答是？
A nurse is providing teaching to a primigravid client at 10 weeks gestation. The client asks about the safety of physical activity during pregnancy. Which statement by the nurse is most appropriate?
- AIncrease the intensity of your workouts to prepare for labor.增加運動強度以準備分娩
- BOnly perform bed exercises to minimize stress on the fetus.僅進行床上運動以最小化對胎兒的壓力
- CYou should avoid all forms of exercise to prevent miscarriage.您應避免所有形式的運動以防止流產
- DContinue your pre-pregnancy exercise routine, but avoid contact sports.✓ 正解繼續孕前運動習慣，但避免接觸性運動
核心概念：孕期運動安全指導。對於健康的孕婦，適度的運動有助於體重管理、情緒穩定及降低妊娠糖尿病風險。為何正確答案 D 對：美國婦產科醫學會（ACOG）建議，若無併發症，孕婦應維持規律運動，但應避免可能導致腹部外傷、跌倒或壓覺改變的接觸性運動（如籃球、足球）或高風險活動（如潛水）。為何其他選項錯：選項 C 過於保守且不符合實證，缺乏運動反而增加併發症風險；選項 A 建議增加強度是危險的，孕期不應開始遠超以往體能的訓練，應以「能說話但不喘」為原則；選項 B 除非有特定醫療禁忌（如子宮頸閉鎖不全），否則不建議長期臥床。臨床思路：護理師應評估病人懷孕前的運動習慣，給予個別化建議，並強調出現陰道出血、腹痛等警訊時需停止運動。
For healthy pregnant clients, continuing a pre-pregnancy exercise routine is generally safe and beneficial for weight management and mood stability. However, clients should avoid contact sports or activities with a high risk of abdominal trauma or falling. Increasing workout intensity significantly or engaging in bed rest without medical indication is not recommended, as moderate activity supports a healthy pregnancy without increasing miscarriage risk.
在美國，護理師會根據 ACOG 指南積極鼓勵孕婦運動，甚至有專門的孕婦健身課程。在台灣，受傳統觀念影響，長輩常建議孕婦「多休息、少亂動」，護理師需透過實證資料衛教病人，打破「動到胎氣」的迷思。