[申覆] 醫學四 18
代po
題目:
下列有關哺餵母奶的敘述,何者錯誤?
A) 哺餵母奶嬰兒之糞便較軟較稀 B) 哺餵母奶應該每四小時規律的餵食
C) B 型肝炎帶原母親仍可哺餵母奶 D)哺餵母奶的嬰兒也需於出生後給予一劑維生素K1
雖然說寶寶餵奶應該是遵守餓了就餵的守則，但在18版Nelson中提到的小朋友因肚子餓而
哭鬧的self regulation 並不是在出生後就有的，所以每個寶寶都會有variations。第一
個禮拜應該要餵60-90ml ，24hrs間餵6-9次。美國小兒科醫學會(American Academy of
Pediatrics)對breastfeeding更建議 Nondemanding babies should be aroused to
feed if 4 hours have elapsed since the beginning of the last nursing，同等不管
熟不熟睡小寶寶都應該被叫起來餵母奶。這題主並沒有提到小朋友的歲數，故以上原因應
該送分。
參考資料：Kliegman: Nelson Textbook of Pediatrics, 18th ed.
Author: W.B. Saunders Chapter 42- The feedings of infants children
Guideline of American Academy of Pediatrics section on breastfeeding,
page 2, Author: American Academy of Pediatrics, copyright: 2009
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