護理師正在教導產後個案關於臍帶護理。應包含哪項指導？
A nurse is teaching a postnatal client about umbilical cord care. Which instruction should be included?
- AGive the infant a tub bath daily until the cord falls off在臍帶脫落前，每天給嬰兒泡澡
- BApply petroleum jelly to the cord stump daily每天在臍帶殘端塗抹凡士林
- CKeep the diaper folded down below the cord stump✓ 正解將尿布向下摺疊至臍帶殘端下方
- DPull the cord off if it is hanging by a thread如果臍帶僅由細線懸掛，將其拉下
此題的核心概念是新生兒臍帶的正確護理。臍帶殘端在出生後會自然乾燥並脫落，正確的護理對於預防感染和促進癒合至關重要。護理師應衛教產後個案，使其了解如何安全有效地照護新生兒的臍帶，避免不當處理導致的併發症，如臍炎。衛教內容應著重於保持臍帶乾燥、清潔，並避免其受到尿布或衣物的摩擦與污染，以確保新生兒的健康與安全。
The core concept is proper newborn umbilical cord care. The cord stump naturally dries and falls off, and correct care prevents infection and promotes healing. The nurse should teach the postnatal client safe and effective umbilical care to avoid complications such as omphalitis. Teaching focuses on keeping the cord clean and dry and avoiding friction or contamination from the diaper or clothing to safeguard newborn health.
新生兒臍帶護理的原則在美國和台灣是高度一致的。兩地都強調保持臍帶乾燥、清潔，避免浸水，並讓其自然脫落。過去台灣曾廣泛使用酒精消毒臍帶，但目前國際趨勢和台灣的最新指引都建議以乾式護理為主，除非有感染跡象。這與美國的實踐是相同的，護理師應遵循最新的循證指引。