護理師正為一名產後產婦提供出院衛教。該產婦的哪項陳述顯示其對嬰兒安全仍需進一步衛教？
The nurse is providing discharge instructions to a postpartum mother. Which statement by the mother indicates a need for further teaching regarding infant safety?
- AI will avoid using loose blankets or quilts in the sleeping area我會避免在睡眠區域使用鬆散的毯子或棉被
- BI will keep a small pillow in the crib to support my baby's head✓ 正解我會在小床裡放一個小枕頭來支撐寶寶的頭部
- CI will place my baby on their back to sleep我會讓寶寶仰睡
- DI will make sure the crib mattress is firm and fits the frame tightly我會確保小床床墊堅固且緊密貼合床架
本題探討預防嬰兒猝死症（SIDS）的安全睡眠環境。核心原則是「仰睡、空床、平坦」。正確答案 B（在嬰兒床放小枕頭）是錯誤的行為，因為任何柔軟物（枕頭、填充玩具、防撞邊墊）都可能導致嬰兒翻身時口鼻受阻而窒息，因此該陳述代表需要進一步衛教。選項 C（仰睡）是預防 SIDS 的金科玉律。選項 D（床墊結實且貼合）預防嬰兒陷入縫隙。選項 A（避免鬆散毯子）也是為了防止遮蓋口鼻。護理師在衛教時應強調，嬰兒床內除了穿著包巾或睡袋的嬰兒外，不應有任何其他物品，這是在 Health Promotion 中保護脆弱新生兒的最基本安全要求。
This addresses SIDS prevention via safe sleep — 'back, bare, flat.' Option B (placing a small pillow in the crib) is unsafe — any soft items (pillows, stuffed toys, bumpers) can obstruct the infant's airway and indicates need for further teaching. A (back sleeping) is the gold standard for SIDS prevention. B (firm, fitted mattress) prevents entrapment. D (no loose blankets) prevents accidental covering. The crib should contain only the infant (in a sleep sack/swaddle); nothing else.
美國「Back to Sleep」推廣極為徹底；台灣傳統觀念常認為仰睡會讓頭型扁平而偏好側睡或趴睡。護理師需特別糾正此類為了美觀而犧牲安全的觀念。