護理師對產後婦女進行出院指導。下列哪句敘述顯示個案了解新生兒安全？
A nurse is providing discharge instructions to a postpartum client. Which of the following statements indicates the client understands newborn safety?
- AI will bathe the baby in the kitchen sink我會在水槽給寶寶洗澡
- BI will keep the crib free of pillows and blankets✓ 正解我會保持嬰兒床內無枕頭和毯子
- CI will use a car seat only when driving on highways我只有在高速公路上開車時才會使用汽車安全座椅
- DI will place my baby on their stomach to sleep我會讓寶寶趴著睡
本題的核心在於預防嬰兒猝死症（SIDS）。護理師指導的重點應符合美國兒科學會（AAP）的安全睡眠建議：仰睡（back to sleep）、硬質床墊、且嬰兒床內不放置任何鬆軟物品。正確答案 B 強調移除枕頭與毯子，能避免嬰兒在睡眠中因口鼻被覆蓋而導致窒息。臨床照護中，教育家長建立安全的睡眠環境是降低 SIDS 風險最有效的首要任務。
This item focuses on preventing sudden infant death syndrome (SIDS). Teaching should align with the American Academy of Pediatrics' safe-sleep recommendations: back to sleep, firm mattress, and a crib free of soft items. Option B—removing pillows and blankets—prevents suffocation during sleep. Establishing a safe sleep environment is the most effective primary task to reduce SIDS risk.
在美國，AAP 對於嬰兒睡眠安全的宣導極為嚴格，強調「ABC」原則（Alone, on Back, in Crib）。台灣臨床亦遵循此原則，但在居家環境中，台灣家長有時習慣使用嬰兒枕或包覆過多衣物，此為護理指導時需特別釐清的觀念差異。