# 在6個月大嬰兒的健康檢查門診中，護理師應向家長提供哪些預期性指導諮詢重點？（請選取所有適用選項）

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=375082&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion and Maintenance  
> category: HPM

## 題目

在6個月大嬰兒的健康檢查門診中，護理師應向家長提供哪些預期性指導諮詢重點？（請選取所有適用選項）

1

依AAP至少至2歲使用後向式安全座椅於後座

2

為哺乳便利,與嬰兒於沙發上同睡

3

嬰兒ABC睡眠(獨自、仰睡、嬰兒床、無軟物)

4

避免嬰兒學步車因跌落與燒傷風險,AAP建議停用

5

將熱水器設定為120°F以下以防燙傷

## 解析

美國兒科學會指引：在後座使用後向式安全座椅，至少到2歲（或依身高／體重限制使用更久）；預防嬰兒猝死症候群的ABC睡眠原則——獨自睡、仰睡、嬰兒床內無床圍、毯子或柔軟玩具；美國兒科學會2018年建議不要使用學步車（可能導致跌倒及頭部受傷）；將熱水器溫度設定在華氏120度或以下可預防燙傷。在沙發或扶手椅上親子同睡是嬰兒猝死症候群及窒息的高風險行為，應予禁止。

## 深入解析

AAP不建議任何形式之同床。共室不共床至少6個月可降低SIDS達50%。

## 臨床情境

健康6個月嬰兒、母乳、目前與父母同床睡眠。

## 重要概念

- **SIDS** — 嬰兒猝死症候群 — 睡眠中嬰兒不明原因死亡。
- **安全睡眠ABC** — 獨自、仰睡、嬰兒床且無軟物。
- **預期性指導** — 於發展上預期之風險發生前提供之諮商。

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