A new father asks the nurse to describe what his baby will experience while sleeping and awake. The best response is:
1. "Babies have several sleep and alert states. Keep watching, and you'll notice them."
2. "You might have noticed that your child was in an alert awake state for an hour after birth."
3. "Newborns have two stages of sleep: deep or quiet sleep and rapid eye movement sleep."
4. "Birth is hard work for babies. It takes them a week or two to recover and become more awake."
3
Rationale 1: Although it is true that babies have several sleep and alert states, the wording of this response is condescending and not therapeutic.
Rationale 2: Although this statement is true, it does not respond to the father's question about sleeping now.
Rationale 3: Teaching the parents how to recognize the two sleep stages helps them tune in to their infant's behavioral states.
Rationale 4: Recovery from the birth process only takes a day or two. During that time, feedings should take place when the baby is in an alert state.
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