— 健康促進與維護 · MEDIUM · SATA —
護理師教導父母預防嬰兒猝死症候群（SIDS）。應包含哪些指導？（選所有適合的）
A nurse is teaching a parent about sudden infant death syndrome (SIDS) prevention. Which instructions should be given? (Select all that apply.)
- APlace the infant on their back to sleep✓ 正解讓嬰兒仰臥睡眠
- BUse a soft mattress with blankets使用鋪有毯子的軟墊
- CKeep the baby's sleep area free of toys and pillows✓ 正解保持嬰兒睡眠區域無玩具和枕頭
- DAvoid overheating the baby✓ 正解避免嬰兒過熱
- EBed-sharing with the parents is recommended建議與父母共寢
— Explanation · 中文詳解 —
預防嬰兒猝死症候群（SIDS）的核心原則為 AAP 推薦的「Safe Sleep」指引：獨自睡（Alone）、仰睡（Back）、睡在嬰兒床（Crib）。環境安全至關重要，應移除所有軟質物品以防窒息或再吸入二氧化碳。過熱會抑制嬰兒的喚醒機制，增加風險。Bed-sharing（同床）在美國臨床指引中被嚴格列為高風險行為，禁止與父母同床。
To prevent sudden infant death syndrome (SIDS), caregivers should place infants on their backs to sleep in a crib free of soft bedding, toys, and pillows to minimize suffocation risks. It is also crucial to avoid overheating the infant, as this can suppress arousal mechanisms, and bed-sharing is discouraged due to the increased risk of entrapment and suffocation.
✦ 台美臨床差異
美國臨床指引對「Bed-sharing」持零容忍態度，護理衛教時需強調即使是為了親餵，也應在餵完後將嬰兒放回嬰兒床，而非留在父母床上。