— 健康促進與維護 · EASY · MCQ —
護理師指導 6 個月嬰兒家長營養攝取，關於引入副食品下列何者正確？
A nurse is educating a parent on nutrition for a 6-month-old infant. Which instruction is accurate regarding the introduction of solid foods?
- ADelay iron-fortified cereals until 8 months延遲至 8 個月再給予鐵強化穀粉
- BMix honey into cereal for added calories將蜂蜜混合在穀粉中以增加熱量
- CStart with egg whites to build immunity以蛋白作為開始以建立免疫力
- DIntroduce one new food every 4 to 7 days✓ 正解每 4 到 7 天引入一種新食物
— Explanation · 中文詳解 —
觀察食物過敏反應是引入副食品的核心，因此每次僅引進一種新食物，並間隔數日觀察皮膚或腸胃反應。蜂蜜在 1 歲前絕對禁止（肉毒桿菌中毒風險），蛋類通常建議 6 個月後由蛋黃開始，而非直接從蛋白，鐵劑穀粉應作為首選食物。
Observing for food allergies is central to introducing solid foods, so only one new food should be introduced at a time and skin or gastrointestinal reactions should be observed for several days before another is introduced. Honey is absolutely prohibited before 1 year of age (risk of infant botulism); eggs are usually introduced after 6 months starting with the yolk, not the whites directly; and iron-fortified cereals should be the first food.
✦ 台美臨床差異
美國兒科建議與台灣衛福部指引大致相同，皆強烈教育一歲前禁用蜂蜜。