— 健康促進與維護 · MEDIUM · MCQ —
護理師指導新手媽媽哺餵母乳。下列哪項觀察顯示衛教成功？
A nurse is teaching a new mother about breastfeeding. Which observation indicates the teaching was successful?
- AThe mother describes a pinching sensation during feeding母親描述在餵乳期間有夾擠感
- BFeeding duration is strictly limited to 10 minutes per side餵乳時間嚴格限制為每側 10 分鐘
- CThe infant's mouth covers only the nipple嬰兒的嘴巴僅覆蓋乳頭
- DThe infant's lips are flanged outward✓ 正解嬰兒的嘴唇向外翻轉
— Explanation · 中文詳解 —
母乳哺餵成功關鍵在於正確含乳 (Latch-on)。唇部外翻 (Flanged lips) 是正確含乳的徵兆。只含住乳頭（C）會造成疼痛與受傷；有刺痛感（A）表示含乳不良；餵食不應嚴格限時（B），應觀察嬰兒需求（飢餓訊號）。
Successful breastfeeding technique is indicated by the infant's lips being flanged outward, which ensures a deep latch and effective milk transfer. Other signs of improper latch include pinching sensations, covering only the nipple, or strict timing of feeds rather than responsive feeding based on infant cues.
✦ 台美臨床差異
美國推廣「按需餵食」(on-demand feeding)；台灣傳統觀念偶有「定時餵食」習慣，現今政策已積極推動母嬰親善與按需哺餵。