護理師正在向一組家長進行關於幼兒汽車安全座椅的衛教。家長的哪項陳述表示需要進一步的衛教？
A nurse is teaching a group of parents about car seat safety for toddlers. Which statement by a parent indicates a need for further teaching?
- AOnce my child reaches age 2, I can safely move them to the front seat with a seat belt.✓ 正解一旦我的孩子滿兩歲，我就可以安全地讓他們坐在配有安全帶的前座。
- BThe chest clip should be positioned at the level of the child's armpits.胸夾應定位在孩子腋下的高度。
- CI will keep my child in a rear-facing car seat as long as possible.我會盡量讓我的孩子使用向後式汽車安全座椅。
- DThe car seat should be placed in the back seat of the vehicle.汽車安全座椅應放置在車輛的後座。
幼兒安全是健康促進的重要組成部分。汽車安全座椅的核心原則是最大程度減少衝擊力對脊椎和頭部的傷害。美國兒科學會 (AAP) 建議，所有兒童在身高或體重超過後向座椅限制前，都應儘可能使用後向座椅（通常至 2 歲或更大）。最關鍵的安全原則是：所有 13 歲以下的兒童都必須坐在後座。選項 A 錯誤，因為 2 歲兒童絕對不能坐在前座，前座氣囊對幼兒具有致命風險。選項 C 正確，後向是目前公認最安全的乘坐方式；選項 D 正確，後座遠離氣囊衝擊；選項 B 正確，胸夾位置不當（如太低）會導致孩童在撞擊時滑脫或內臟受損。
Toddler safety is an important component of health promotion. The core principle of car safety seats is to minimize the impact forces on the spine and head. The American Academy of Pediatrics (AAP) recommends that all children remain rear-facing as long as possible, until they exceed the height or weight limits of the rear-facing seat (typically through at least age 2 or older). The most critical safety principle is that all children younger than 13 years must ride in the back seat. Option A is incorrect because a 2-year-old child must absolutely not ride in the front seat, as the front-seat airbag poses a lethal risk to toddlers. Option C is correct, as rear-facing is currently recognized as the safest riding position; option D is correct, as the back seat is away from airbag impact; option B is correct, as improper chest clip position (such as too low) can cause the child to slip out or experience internal injury upon impact.
美國各州法律對安全座椅年齡有明確且嚴格的裁罰，且護理師常需在出院前確認安全座椅安裝正確。台灣雖有相關法規（4 歲以下需座椅），但家長對於「後向乘坐越久越好」及「13 歲前禁坐前座」的觀念普及率仍有待加強，臨床護理師需投入更多心力於此類衛教。