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健康促進與維護 · EASY · MCQ

護理師指導家長關於嬰兒安全措施。哪句話表示家長需要進一步指導?

A nurse is teaching a parent about safety measures for an infant. Which of the following statements by the parent indicates the need for further education?

  • AI will keep the crib free of pillows and blankets
    我會保持嬰兒床內無枕頭和毯子
  • BI will ensure the crib slats are no more than 2 3/8 inches apart
    我會確保嬰兒床欄杆間距不超過 2 3/8 英吋
  • CI will place the baby on their back for sleep
    我會讓嬰兒仰睡
  • DI will use a car seat that faces forward✓ 正解
    我會使用面向前方的汽車安全座椅
Explanation · 中文詳解

嬰兒安全的核心在於預防猝死(SIDS)與創傷。正確的汽車座椅安裝方式是保障嬰兒在車禍中存活的關鍵。根據美國兒科學會(AAP)準則,嬰兒應盡可能長時間使用「後向式」(rear-facing)汽車安全座椅,至少到兩歲或達到座椅限制的身高體重上限。前向式安裝會使嬰兒在撞擊時頸椎承受過大壓力,導致嚴重傷害。家長若選擇前向式,顯見其對交通安全規範認知不足,需立即衛教。

Infants should remain in a rear-facing car seat for as long as possible, typically until at least age two or reaching the seat's height and weight limits, to protect their developing neck and spine during a collision. A statement indicating the use of a forward-facing seat demonstrates a misunderstanding of safety guidelines and requires further education.

✦ 台美臨床差異

美國對於汽車安全座椅(Car Seat)的法規極為嚴格且有強制性,護理師在出院衛教時會強調必須符合國家公路交通安全管理局(NHTSA)標準。台灣家長對於後向式座椅的觀念普及度較低,常有過早轉向的誤區。

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