— 健康促進與維護 · EASY · MCQ —
一位懷孕第二孕期的客戶主訴腿部抽筋，下列哪項護理指導最有效？
A client in the second trimester of pregnancy reports leg cramps. Which nursing instruction is most helpful?
- AAvoid all forms of physical activity until symptoms subside避免所有形式的體力活動直到症狀消退
- BPerform calf stretches and increase dietary magnesium intake✓ 正解進行小腿伸展並增加膳食鎂攝取量
- CTake a warm bath right before bedtime在睡前洗個熱水澡
- DIncrease caffeine intake to improve circulation增加咖啡因攝取量以改善循環
— Explanation · 中文詳解 —
懷孕期間腿部抽筋常因鈣鎂失衡、循環壓迫引起。執行小腿伸展運動可緩解痙攣，增加鎂離子（如豆類、堅果）攝取有助於肌肉放鬆。C（不運動）會加劇循環停滯；D（咖啡因）會導致利尿及脫水，反而惡化抽筋；B（溫水澡）雖可放鬆肌肉，但效果不及伸展具針對性。
Leg cramps in the second trimester are often related to magnesium deficiency and increased pressure on nerves and vessels. Performing calf stretches helps relieve muscle tension, while increasing dietary magnesium aids in muscle relaxation. Inactivity can worsen venous stasis, and caffeine may cause dehydration, both of which can exacerbate cramping.
✦ 台美臨床差異
美國護理師常建議補充劑；台灣醫師則多開立鈣鎂片，護理師則強調飲食調整與伸展技巧。