護理師在健康檢查評估一位 2 歲幼兒，下列哪項發現應視為安全隱憂？
A nurse is assessing a 2-year-old child at a wellness visit. Which finding should the nurse identify as a safety concern?
- AChild uses a forward-facing car seat✓ 正解兒童使用朝向前方的汽車安全座椅
- BChild is playing with wooden blocks兒童正在玩木製積木
- CChild drinks milk from a cup兒童用杯子喝牛奶
- DChild sleeps with a small blanket兒童睡在小毯子旁
兒童安全是兒科護理的重點。根據美國兒科學會（AAP）建議，幼兒應儘可能長時間使用後向式汽車座椅（Rear-facing car seat），因為後向式座椅能在碰撞時支撐兒童的頭部、頸部與脊椎，將衝擊力均勻分散。2 歲幼兒的頸椎發育尚未完全，若過早使用前向式座椅（Forward-facing），在發生車禍時，頭部慣性前衝極易導致嚴重的頸椎損傷或死亡。因此，選擇前向式座椅被視為未達安全標準的行為。
Child safety is a key focus of pediatric nursing. According to recommendations from the American Academy of Pediatrics (AAP), young children should remain in a rear-facing car seat for as long as possible, because a rear-facing seat supports the child's head, neck, and spine during a crash and distributes the force evenly. The cervical spine of a 2-year-old is not yet fully developed; if a forward-facing car seat is used too early, the inertial forward motion of the head during a collision can easily cause severe cervical spine injury or death. Therefore, the use of a forward-facing car seat at this age is considered a behavior that falls short of the safety standard.
美國各州對於汽車安全座椅的法律規定極為嚴格且強制執行，護理師在進行健康檢查（Well-child visit）時，評估車用安全座椅的使用狀況是標準程序，甚至會建議家長尋求認證的技術人員協助安裝。