護理師正向一位新手母親衛教如何預防嬰兒猝死症 (SIDS)。為了促進安全的睡眠環境，護理師應包含下列哪項指導？
A nurse is teaching a new mother about sudden infant death syndrome (SIDS) prevention. Which instruction should the nurse include to promote a safe sleep environment?
- APlace the infant on a firm sleep surface in a supine position.✓ 正解將嬰兒置於堅實的睡眠表面上，採仰臥姿勢。
- BUse soft bedding and plush toys in the crib to keep the infant comfortable.在嬰兒床內使用柔軟的寢具和絨毛玩具，以保持嬰兒舒適。
- CEnsure the infant sleeps in a prone position to strengthen neck muscles.確保嬰兒採俯臥姿勢睡眠，以強化頸部肌肉。
- DPlace the infant on their side to sleep to prevent aspiration.讓嬰兒側臥睡眠，以防止噎食。
預防嬰兒猝死症 (SIDS) 是嬰兒期健康促進的首要任務。核心概念是「仰睡、床舖平整、無雜物」。正確答案為 A。仰睡 (Supine position) 是目前全球一致公認能顯著降低 SIDS 風險的姿勢。選項 D（側睡）不穩定，嬰兒容易翻轉成趴睡；選項 B 錯誤，軟墊、棉被、填充玩具都是窒息風險來源，嬰兒床內應維持「空無一物」；選項 C 錯誤，趴睡 (Prone) 是 SIDS 的最大危險因子，頸部訓練應在清醒且有人看守的情況下進行（Tummy time），而非睡眠時。護理師應堅定傳達這些原則，因為這直接關係到嬰兒的生存安全。
Preventing sudden infant death syndrome (SIDS) is the top priority of infant health promotion. The core concept is 'back to sleep, on a firm flat surface, with nothing in the crib.' The correct answer is A. The supine position is universally recognized as the only position that significantly reduces SIDS risk. Option D (side-lying) is unstable, because infants easily roll into the prone position; option B is incorrect because soft bedding, blankets, and stuffed toys are all suffocation hazards and the crib should be kept empty; option C is incorrect because the prone position is the most significant SIDS risk factor, and neck strengthening should occur during supervised, awake 'tummy time,' never during sleep. The nurse must communicate these principles firmly, as they directly affect the infant's survival.
美國長期推行「Back to Sleep」運動，衛教內容非常標準化。台灣在推廣時，常遇到長輩擔心仰睡會讓頭型變扁的文化觀念，護理師需特別解釋「生命安全重於頭型美觀」，並教導清醒時如何透過變換姿勢來兼顧頭型。