護理師正在教導一組家長關於嬰兒副食品的添加。下列哪位家長的陳述顯示其對衛教內容有正確的理解?
A nurse is teaching a group of parents about the introduction of solid foods to infants. Which statement by a parent indicates a correct understanding of the teaching?
- AFruit juice is the best way to introduce fruits at 4 months of age果汁是四個月大時引入水果的最佳方式
- BI will start feeding my baby rice cereal in a bottle at 2 months to help them sleep我會在兩個月大時將米精加入奶瓶餵食,以幫助寶寶睡眠
- CI will introduce new foods one at a time, waiting 3 to 5 days between each✓ 正解我會一次引入一種新食物,每次之間等待3至5天
- DI should start with honey to naturally sweeten the baby's first foods我應該先用蜂蜜來天然甜味化寶寶的第一種食物
嬰兒副食品添加是健康促進中營養教育的關鍵。核心原則是「循序漸進」與「觀察過敏」。建議在 4-6 個月大(且嬰兒能穩坐、尋乳反射消失、對食物感興趣)時開始。選項 C 描述了正確的做法:每次只添加一種新食物,並觀察 3-5 天,以便在發生過敏反應(如皮疹、腹瀉)時能明確辨識過敏原。選項 B 錯誤,2 個月大太早,且在奶瓶加米粉會增加窒息風險。選項 D 是禁忌,一歲以下嬰兒絕對不能吃蜂蜜,因為有肉毒桿菌中毒風險。選項 A 錯誤,果汁熱量高且缺乏纖維,並非好的開始。臨床思路上,護理師應強調腸胃道準備度與食品安全性。
The introduction of solid foods to infants is a key topic in nutritional education within health promotion. The core principles are 'gradual progression' and 'allergy observation.' Solids are recommended when the infant is 4 to 6 months old (and can sit steadily, has lost the rooting reflex, and shows interest in food). Option C describes the correct approach: introduce one new food at a time and observe for 3 to 5 days so that an allergic reaction (such as rash or diarrhea) can be clearly traced to its source. Option B is incorrect because 2 months is too early, and adding rice cereal to a bottle increases choking risk. Option D is contraindicated, since infants under one year of age must never be given honey because of the risk of botulism. Option A is incorrect because fruit juice is high in calories and low in fiber, making it a poor first food. Clinically, the nurse should emphasize gastrointestinal readiness and food safety.
美國兒科學會(AAP)近年強調早期接觸花生等易過敏食物(若無禁忌)可預防過敏;台灣衛教則較保守,仍多建議先從米湯、米糊開始。護理師需根據最新實證引導家長,並特別注意蜂蜜的禁忌教育。