— 健康促進與維護 · EASY · MCQ —
護理師向家長衛教新生兒 B 型肝炎疫苗接種時程，應提供什麼資訊？
A nurse is teaching a parent about the schedule for the Hepatitis B vaccine for a newborn. What information should the nurse provide?
- ABooster doses are required every year until age 5直到 5 歲為止，每年都需要補強劑量
- BThe second dose is administered at 4 months of age第二劑在 4 個月大時施打
- CThe first dose is given at birth before hospital discharge✓ 正解第一劑在出院前出生時施打
- DThe vaccine is only required if the mother is HBsAg positive僅在母親為 B 型肝炎表面抗原陽性時才需要接種疫苗
— Explanation · 中文詳解 —
B 型肝炎疫苗接種時程依據 CDC 指南，出生後 24 小時內應儘速施打第一劑（出生劑），第二劑通常於 1-2 個月，第三劑於 6-18 個月。此疫苗為預防感染之基礎免疫，不論母親帶原與否均為常規疫苗，非僅針對高風險群。
According to CDC guidelines, the hepatitis B vaccination schedule begins with the first (birth) dose administered as soon as possible within 24 hours of birth, the second dose typically at 1 to 2 months, and the third dose at 6 to 18 months. This vaccine is part of the foundational immunization series for infection prevention and is routinely administered to all infants, regardless of maternal carrier status, rather than only to high-risk groups.
✦ 台美臨床差異
台美皆依據 CDC/衛福部時程接種，美國強調出生 24 小時內，台灣則有明確的出生、滿月、六個月時程表。