護理師教導家長關於 1 歲幼兒的安全注意事項。哪些措施應強調?(選所有適合的)
A nurse is teaching a parent about safety for a 1-year-old child. Which safety measures should be highlighted? (Select all that apply.)
- AInstall safety gates at stairs✓ 正解在樓梯處安裝安全門
- BKeep cleaning agents in locked cabinets✓ 正解將清潔劑存放在上鎖的櫃子裡
- CRemove small, swallowable objects from reach✓ 正解將可吞嚥的小物件移至觸及不到的地方
- DUse a walker with wheels使用帶輪子的學步車
- ECover all electrical outlets✓ 正解覆蓋所有電源插座
1 歲幼兒正處於發展的高峰期,活動力大增但危險認知不足。此階段的護理重點在於「環境改造(Childproofing)」。防跌(護欄)、防中毒(鎖櫃)、防窒息(移除小物件)及防觸電(插座蓋)是確保幼兒安全的基本要素。美國兒科醫學會(AAP)強烈反對使用學步車(Walker),因其增加跌落樓梯與翻覆的風險。
A one-year-old is at a peak developmental stage with rapidly increasing mobility but limited hazard awareness. Nursing focus is therefore on environmental modification (childproofing). Preventing falls (bed rails), poisoning (locked cabinets), choking (removing small objects), and electrical injury (outlet covers) are essential. The American Academy of Pediatrics (AAP) strongly discourages the use of baby walkers because they increase the risk of stair falls and tipping over.
美國對學步車的規範非常嚴格,許多兒科醫生會直接建議家長丟棄或不要購買,這在台灣臨床衛教中可能較少見,但在 NCLEX 中,必須展現出對輔具風險的高度警覺。