— 健康促進與維護 · MEDIUM · MCQ —
護理師教導家長關於幼兒副食品添加。哪項建議是適當的？
A nurse is teaching a parent about introducing solid foods to an infant. Which advice is appropriate?
- AStart with heavy meats at 3 months3個月大時開始提供肉泥
- BAdd honey to all foods to improve flavor在所有食物中添加蜂蜜以改善風味
- COnly provide fruit juices只提供果汁
- DIntroduce one new food at a time, 3-5 days apart✓ 正解每次引入一種新食物，間隔3-5天
— Explanation · 中文詳解 —
副食品添加應採「一次一種」，間隔 3-5 天觀察過敏反應。B 錯誤：1 歲前絕對禁止蜂蜜（肉毒桿菌風險）；A 錯誤：建議 6 個月大才開始，且應從澱粉類或蔬菜泥開始；C 錯誤：蔬果汁缺乏纖維且含過多糖分。
Solid foods should be introduced "one at a time," with a 3–5 day interval to observe for allergic reactions. Option B is incorrect: honey is strictly prohibited before age 1 due to the risk of infant botulism. Option A is incorrect: introduction is recommended starting at 6 months of age, beginning with grain or vegetable purees. Option C is incorrect: fruit and vegetable juices lack fiber and contain excessive sugar.
✦ 台美臨床差異
美國小兒科醫師對添加時機建議與台灣略有差異，但均同意蜂蜜必須延至一歲後；護理師需確認家長對過敏原辨識的知識。