— 健康促進與維護 · HARD · SATA —
一位懷孕 28 週的孕婦詢問旅遊安全事項。護理師應包含哪些衛教內容?(選所有適合的)
A pregnant client at 28 weeks gestation asks about safety precautions for traveling. Which of the following should the nurse include in the teaching? (Select all that apply.)
- AWear a seatbelt with the lap belt placed below the abdomen✓ 正解繫安全帶時,腰部安全帶應置於腹部下方
- BAvoid prolonged sitting to prevent deep vein thrombosis✓ 正解避免久坐以預防深層靜脈血栓
- CStay well-hydrated during the trip✓ 正解旅途中保持充足水分
- DIt is completely safe to travel internationally regardless of destination無論目的地為何,國際旅行完全安全
- ESchedule frequent breaks to walk every 1-2 hours✓ 正解每1-2小時安排短暫休息並行走
— Explanation · 中文詳解 —
孕期旅遊需注意血栓預防、腹部受傷防護以及脫水風險。懷孕期間凝血因子增加,長時間久坐易導致深層靜脈栓塞,故需定時活動。安全帶應繫於骨盆下方而非腹部。國際旅遊需考量當地醫療資源與疫苗接種安全性,並非絕對安全。
Pregnant clients should wear seatbelts with the lap portion positioned below the abdomen over the hips to protect the fetus during travel. Additionally, staying hydrated, avoiding prolonged sitting, and taking frequent walking breaks help prevent deep vein thrombosis and other complications associated with pregnancy.
✦ 台美臨床差異
美國對於孕婦旅遊多採取「諮詢醫師後根據臨床狀況」的個人化建議,台灣則較常遵循傳統「妊娠後期避免長途跋涉」的衛教方針。