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健康促進與維護 · MEDIUM · SATA

護理師為產後個案說明新生兒疫苗接種。個案說出哪些話代表了解?(選所有適合的)

A nurse is providing discharge instructions to a postpartum client about immunization for her newborn. Which statement by the client indicates understanding? (Select all that apply.)

  • AMy baby will receive the Hepatitis B vaccine before leaving the hospital✓ 正解
    我的寶寶在出院前會接種乙型肝炎疫苗
  • BThe MMR vaccine will be administered at the next visit
    麻疹腮腺炎德國麻疹疫苗 (MMR) 將在下次回診時接種
  • CI should report a low-grade fever after vaccination to the provider
    接種疫苗後若出現低燒,我應該向醫師報告
  • DThe Hepatitis B vaccine is the only immunization required in the first week✓ 正解
    乙型肝炎疫苗是第一週唯一需要接種的疫苗
  • EI should keep a record of my baby's immunizations✓ 正解
    我應該保存寶寶的疫苗接种紀錄
Explanation · 中文詳解

美國 NCLEX 標準新生兒疫苗時程:A. Hep B 疫苗於出生 24 小時內接種以預防 perinatal HBV 感染;D. 在美國 CDC 時程下,Hep B 是新生兒第一週**例行**唯一施打的疫苗(BCG、口服小兒麻痺等屬其他國家政策,非美國時程);E. 保存疫苗紀錄是父母標準衛教。錯誤:B. MMR 疫苗在 12-15 個月才施打,過早接種會被母體抗體中和;C. 接種後輕微發燒為常見正常反應,不需立即回報。

US standard newborn immunization schedule: A. Hep B vaccine within 24 hours of birth to prevent perinatal HBV; D. Per CDC schedule, Hep B is the only routine vaccine in the first week (BCG, oral polio belong to other countries' schedules, not US); E. Maintaining a vaccination record is standard parent teaching. Incorrect: B. MMR is given at 12-15 months; earlier administration is neutralized by maternal antibodies; C. Mild fever post-vaccination is a normal expected reaction and does not require immediate reporting.

✦ 台美臨床差異

台灣新生兒出生即接種 B 肝與卡介苗;美國則視地區,卡介苗非標準接種疫苗。

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