— 健康促進與維護 · MEDIUM · SATA —
護理師教導家長關於嬰兒猝死症候群(SIDS)的預防。哪些敘述正確?(選所有適合的)
A nurse is teaching a parent about sudden infant death syndrome (SIDS) prevention. Which statements are correct? (Select all that apply.)
- APlace the infant on their back for every sleep✓ 正解每次睡眠時將嬰兒置於仰臥姿勢
- BUse a firm mattress with a tight-fitting sheet✓ 正解使用堅硬床墊並搭配緊密貼合的床單
- CKeep soft objects and loose bedding out of the crib✓ 正解將柔軟物品及鬆散的寢具移出嬰兒床
- DAllow the infant to sleep in the parent's bed for closer monitoring允許嬰兒與父母同床睡以便更近距離監控
- EEnsure the room temperature is kept very warm for comfort確保室溫保持溫暖以提供舒適
— Explanation · 中文詳解 —
SIDS 預防核心為「仰睡、硬床、淨空」。嬰兒應睡在自己的嬰兒床上(同房不同床),床墊必須硬挺且床單緊貼,避免鬆軟寢具造成窒息。D 錯誤:同床(bed-sharing)增加窒息風險;E 錯誤:過熱是 SIDS 的已知風險因子。
SIDS prevention centers on 'Back to Sleep, firm surface, clear crib.' Place the infant supine for every sleep on a firm mattress with a tight-fitting sheet, and keep soft objects and loose bedding out of the crib. Co-sleeping (bed-sharing) and overheating both increase the risk of SIDS; room-sharing without bed-sharing is recommended.
✦ 台美臨床差異
美國 AAP 強烈建議同房不同床;台灣亦推廣此觀念,但傳統觀念常有同床習慣,需加強衛教。