— 健康促進與維護 · MEDIUM · SATA —
懷孕 28 週的產婦詢問早產跡象。護理師應包含哪些內容？（選所有適合的）
A pregnant client at 28 weeks gestation asks about the signs of preterm labor. Which of the following should the nurse include? (Select all that apply.)
- ALow, dull backache✓ 正解低沈性背痛
- BRegular, rhythmic uterine contractions✓ 正解規律、節律性的子宮收縮
- CIncreased vaginal discharge or mucus✓ 正解陰道分泌物或黏液增加
- DPelvic pressure or heaviness✓ 正解骨盆壓迫感或沈重感
- ELeaking of fluid from the vagina✓ 正解陰道液體滲漏
— Explanation · 中文詳解 —
早產（Preterm labor）定義為懷孕 20-37 週之間出現規律子宮收縮並伴隨子宮頸變化。護理師需教導孕婦辨識這些非典型但具警示性的症狀，以便及時就醫進行評估（如測量胎兒纖維黏連蛋白或執行陰道超音波檢查）。所有選項均為臨床常見的早產前驅症狀，若孕婦出現相關主訴，護理師應視為高風險狀況，採取優先評估策略。
Signs of preterm labor include persistent low backache, regular rhythmic contractions, increased vaginal discharge, pelvic pressure, and leaking fluid. These symptoms indicate cervical changes or membrane rupture requiring immediate medical evaluation to prevent delivery before 37 weeks.