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健康促進與維護 · EASY · MCQ

護理師教育家長關於 6 個月大嬰兒的安全照護,哪項指導最重要?

A nurse is educating a parent on safety for a 6-month-old infant. Which instruction is highest priority?

  • AIntroduce cow's milk to the diet
    在飲食中引入牛奶
  • BEnsure the crib mattress is firm and free of soft objects✓ 正解
    確保嬰兒床墊堅硬且無柔軟物品
  • CPlace the infant on their stomach to sleep
    讓嬰兒採仰臥姿勢睡覺
  • DUse a rear-facing car seat until age 5
    使用朝後安裝的汽車安全座椅直至 5 歲
Explanation · 中文詳解

預防嬰兒猝死症候群(SIDS)的核心在於睡眠環境安全。嬰兒床必須淨空,移除枕頭、填充玩具與厚毯子,且床墊需硬實。C 錯誤:嬰兒應仰睡。A 錯誤:1 歲前不可飲用牛奶。D 錯誤:後向式安全座椅通常建議至少使用至 2 歲或達到製造商身高體重上限,雖有彈性但非最緊急的睡眠死亡風險防範。

The core of sudden infant death syndrome (SIDS) prevention is sleep environment safety. The crib must be kept clear, with pillows, stuffed toys, and heavy blankets removed, and a firm mattress is required. C is incorrect: infants should sleep on their backs. A is incorrect: cow's milk should not be given before 1 year of age. D is incorrect: rear-facing car seats are generally recommended at least until age 2 or until the manufacturer's height and weight limits are reached; although there is some flexibility, this is not the most urgent measure for preventing sleep-related death.

✦ 台美臨床差異

美國 AAP 對 SIDS 指引極度嚴格;台灣兒科醫師同樣強調仰睡及淨空床鋪,但家庭結構不同,有時需提醒家長避免與嬰兒同床(Bed-sharing)。

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