護理師與一位家長複習嬰兒照護衛教。哪些陳述需要後續追蹤?請標示出不支持安全睡眠環境的陳述。 | MyMerci
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護理師與一位家長複習嬰兒照護衛教。哪些陳述需要後續追蹤?請標示出不支持安全睡眠環境的陳述。

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Nurses' Notes 1045: The parent prepares to take a healthy 2-month-old infant home after a clinic visit. The infant will be placed on the back for every nap and nighttime sleep. The parent says, after feeding, the infant will sleep on the stomach so milk cannot come back up. A safety-approved crib with a firm, flat mattress will be used beside the parent's bed. Only a fitted sheet will cover the mattress, and a sleep sack will replace loose blankets. The parent plans to place a small positioning pillow under the infant's head to prevent a flat spot. Tummy time will occur while the infant is awake and an adult is watching. All grandparents and babysitters will receive the same safe-sleep instructions. The parent states if the infant falls asleep in a stroller, the infant will be moved to the crib when practical. The infant will sleep overnight in the car seat after it is carried indoors. The crib will remain free of bumpers, toys, quilts, and stuffed animals. The parent asks the nurse to watch a return demonstration of the sleep-space setup. The nurse identifies statements that need additional teaching before the family leaves.
護理紀錄 1045: 家長準備帶一名健康的2個月大嬰兒從診所返家。嬰兒每次小睡和夜間睡眠都將採仰躺姿勢。家長說,餵食後,嬰兒會趴睡,這樣牛奶就不會回流。將使用符合安全標準的嬰兒床,搭配堅固、平坦的床墊,置於家長床邊。床墊上只會鋪合身床單,並以睡袋取代寬鬆的毯子。家長計畫在嬰兒頭下放置一個小型定位枕,以防止扁頭。俯臥時間會在嬰兒清醒且有成人看顧時進行。所有祖父母和保母都會收到相同的安全睡眠指導。家長表示如果嬰兒在嬰兒車上睡著,會在可行的情況下將嬰兒移至嬰兒床。嬰兒在汽車安全座椅上睡著後,被帶進室內,將在座椅上過夜睡覺。嬰兒床內將不會有床圍、玩具、被子和填充動物。家長請護理師觀看睡眠空間設置的回覆示教。護理師找出在家人離開前需要額外衛教的陳述。
解析
讓嬰兒趴睡、添加定位枕,或讓嬰兒在汽車安全座椅上睡覺,都可能阻礙呼吸。仰睡在堅固、平坦、無物的表面上較為安全。
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