階段 1 — 辨識線索。檢視六個月大的個案資料,並標示出五項家長回報的行為,需要改變以減少可預防的傷害。 | MyMerci
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階段 1 — 辨識線索。檢視六個月大的個案資料,並標示出五項家長回報的行為,需要改變以減少可預防的傷害。

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During the six-month visit, the mother reports that she places Baby J on her stomach at the beginning of nighttime sleep. The infant knows familiar people, laughs, and takes turns making sounds. She reaches for toys and brings objects to her mouth and rolls both ways during supervised floor play. At home, the parents use a mobile infant walker beside an ungated staircase with a loose railing. Baby J receives human milk plus iron-fortified cereal and varied pureed foods. Her parents turned the car seat forward-facing because her legs looked crowded. The clinic record documents vaccine products and dates through the four-month visit. The father plans to replace one human-milk feeding with a bottle of whole cow milk. The mother adds that a loose blanket and the family cat are sometimes inside the crib. Growth continues along established percentiles, and no loss of skills is reported.
在六個月大的訪視中,母親報告她在夜間睡眠開始時讓嬰兒J俯臥。嬰兒認識熟悉的人、會笑,並輪流發出聲音。她會伸手拿玩具並將物品放入口中,並在有人看顧的地板玩耍時雙向翻身。在家中,家長在沒有門的樓梯旁使用學步車,且樓梯扶手鬆動。嬰兒J接受母乳餵養,並食用鐵質強化麥片和多樣化的泥狀食物。她的家長因為嬰兒的腿看起來很擠,所以將汽車安全座椅轉為前向式。診所紀錄記載了截至四個月大訪視的疫苗產品和日期。父親計畫用一瓶全脂牛奶取代一次母乳餵養。母親補充說,嬰兒床內有時會有鬆散的毯子和家裡的貓。成長持續沿著既定的百分位曲線,且沒有報告技能喪失。
解析
五項需要改變的行為
需要採取行動的發現包括最初的俯臥睡姿、在沒有門的樓梯旁使用學步車且樓梯扶手鬆動、前向式汽車安全座椅的使用、計畫用牛奶取代一次母乳餵養,以及嬰兒床內有鬆散的毯子和貓。發展行為、穩定成長、富含鐵質的副食品以及完整的疫苗接種紀錄都令人放心,或者只需要例行性核對,而非作為不安全的行為需要糾正。
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