A new mother is concerned that her 3-year-old child is not adapting well to the birth of a new sibling 1 month ago. What suggestion can the nurse provide to best help this mother?

A.
Explain to the child that she will always have a special bond with the new sibling.
B.
Give the 3-year-old a special chore that only she does to help her mom.
C.
Promise the 3-year-old that she can have a pet if she is good to her new sibling.
D.
Tell the child she will need to get used to having a new baby in the house.


ANS: B
Often siblings have a rough time adapting to the arrival of a new sibling. Some suggestions for the parents are to talk to the child about her feelings, teach the child how to play with the baby, praise age-appropriate behaviors and do not criticize regressive behaviors (regression is common), set aside special time each day for the older child, and give the older child a special chore to be a "big helper for Mommy." A special chore, such as bringing diapers when the baby needs changing, can help boost her self-esteem and make her feel important to the family.

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