— 健康促進與維護 · EASY · MCQ —
一位處於第二孕期的孕婦表示有胃灼熱感，護理師應提供何種建議最為合適？
A pregnant client in her second trimester reports experiencing heartburn. Which advice is best for the nurse to provide?
- AEat several small meals throughout the day✓ 正解全天少量多餐
- BIncrease intake of spicy foods to stimulate gastric motility增加辛辣食物的攝取以促進胃蠕動
- CDrink large amounts of fluid during meals to wash down food進餐時飲用大量液體以沖洗食物
- DLie down immediately after eating to improve digestion吃完飯後立即躺下以促進消化
— Explanation · 中文詳解 —
懷孕期間由於黃體素（progesterone）增加，導致食道下括約肌鬆弛，加上子宮增大對胃部產生機械性壓迫，胃酸極易逆流至食道，導致胃灼熱（heartburn）。少量多餐（small, frequent meals）可減少胃部容積，降低胃部壓力，有效減少胃酸逆流。進食後應避免立即躺下，建議保持直立姿勢以利用重力幫助消化。進餐時大量飲水會增加胃部容積與壓力，加重胃灼熱感。
Heartburn in pregnancy is often caused by progesterone relaxing the lower esophageal sphincter and uterine pressure on the stomach. Eating small, frequent meals helps prevent gastric distention and reduces pressure on the stomach, thereby minimizing acid reflux compared to large meals.