— 健康促進與維護 · HARD · SATA —
護理師教導家長預防嬰兒猝死症候群（SIDS）的策略，應包含哪些內容？（選所有適合的）
A nurse is teaching a parent about sudden infant death syndrome (SIDS) prevention. Which strategies should the nurse include? (Select all that apply.)
- APlace the infant on their back to sleep✓ 正解讓嬰兒仰臥睡覺
- BKeep soft objects and loose bedding out of the crib✓ 正解將柔軟物品和鬆散的寢具移出嬰兒床
- CUse a firm mattress with a well-fitted sheet✓ 正解使用堅硬床墊並搭配緊密貼合的床單
- DAllow the infant to sleep in the parent's bed for close monitoring允許嬰兒與父母同床睡以便密切觀察
- EOffer a pacifier at nap time and bedtime✓ 正解在午睡和就寢時間提供安撫奶嘴
— Explanation · 中文詳解 —
預防 SIDS 的核心原則是「安全睡眠」。正確措施包括：仰睡（Back to sleep）、使用堅固且包覆良好的床墊、移除嬰兒床內所有軟墊、毯子或填充玩偶，以防窒息。研究顯示，睡眠時給予安撫奶嘴可降低 SIDS 風險，但應避免與父母同床以防壓傷或悶住。
SIDS prevention strategies emphasize a safe sleep environment, including placing the infant on their back, using a firm mattress with a fitted sheet, and removing soft objects or loose bedding. Offering a pacifier during sleep is also recommended as it is associated with a reduced risk of SIDS. Bed-sharing is discouraged due to the increased risk of suffocation and accidental overlay.
✦ 台美臨床差異
美國 AAP 對 SIDS 的指引非常嚴格；台灣兒科醫學會建議相似，但受傳統文化影響，同床睡覺在台灣仍相當常見。