— 健康促進與維護 · MEDIUM · SATA —
護理師衛教一位懷孕 28 週的孕婦有關子癇前症的警訊。孕婦應在發現哪些症狀時立即回報？（選所有適合的）
A nurse is educating a pregnant woman at 28 weeks gestation about warning signs of preeclampsia. Which findings should the client be instructed to report immediately? (Select all that apply.)
- APersistent headache✓ 正解持續性頭痛
- BBlurred vision✓ 正解視力模糊
- CEpigastric pain✓ 正解上腹部疼痛
- DMild ankle edema輕微踝部水腫
- EFacial swelling✓ 正解臉部水腫
— Explanation · 中文詳解 —
子癇前症的典型症狀包含高血壓、蛋白尿與水腫，但警訊更重於神經與血管系統症狀。持續性頭痛與視力模糊代表腦部受損風險，右上腹或上腹痛提示肝包膜腫脹，臉部水腫則顯示液體滯留嚴重。輕微足部水腫在孕期屬生理現象，不需立即回報。
Clients should immediately report persistent headaches, blurred vision, epigastric pain, and facial swelling, as these indicate severe preeclampsia complications such as cerebral edema, retinal issues, or liver involvement. Mild ankle edema is a common physiological change in pregnancy and does not require urgent reporting.
✦ 台美臨床差異
台美對於產前衛教的警覺點一致，但美國護理師更常透過電話諮詢直接決定是否安排孕婦至急診評估。