— 健康促進與維護 · MEDIUM · SATA —
護理師評估產後病人的新生兒照護情形，哪些發現顯示需要進一步的衛教？（選所有適合的）
A nurse is assessing a client during a postpartum visit. Which findings indicate the need for further education regarding newborn care? (Select all that apply.)
- AThe parent uses a blanket to keep the baby warm while sleeping in the crib✓ 正解父母在嬰兒睡於嬰兒床時使用毯子保暖
- BThe parent cleans the umbilical cord stump with alcohol wipes✓ 正解父母使用酒精濕巾清潔臍帶殘端
- CThe parent exposes the newborn to direct sunlight for jaundice management✓ 正解父母讓新生兒直接暴露在陽光下以管理黃疸
- DThe parent feeds the baby every 2-3 hours for breastfeeding父母每 2-3 小時餵哺母乳
- EThe parent waits for the umbilical cord to fall off before giving a tub bath✓ 正解父母等待臍帶脫落後才給嬰兒泡澡
— Explanation · 中文詳解 —
現代育兒衛教重點：A 為窒息風險；B 現在建議保持乾燥即可，不需使用酒精；C 曬太陽恐導致脫水或皮膚灼傷，應就醫照光；E 現在認為臍帶處只要保持清潔乾燥，浸泡式洗澡並無禁止。D 是正確的哺餵頻率，不需指導。
Using blankets in the crib poses a suffocation risk, so safe sleep guidelines recommend against loose bedding. Current evidence supports dry cord care rather than cleaning the stump with alcohol. Exposing newborns to direct sunlight is unsafe due to risks of dehydration and burns; phototherapy is the standard treatment for jaundice. Tub baths are permissible even before the cord falls off, provided the area is kept clean and dry.
✦ 台美臨床差異
台灣傳統育兒習慣仍常有使用酒精擦臍帶及曬太陽治療黃疸的現象，護理師需花較多心力糾正觀念。