A female client tells the nurse about wanting to wait to start a family even though the spouse has been "hinting" about it for some time. What is the best response by the nurse?
A) "Maybe you should babysit a friend's child for a while to see if you really want children."
B) "You and your spouse need to discuss the decision to start a family."
C) "If you don't want to start a family then you don't have to."
D) "What would you do if you became pregnant now?"
Answer: B
Making the decision to have children is the first step a couple makes in the process of conception. Sometimes one individual wishes to have a child but the other does not. In these situations, an open discussion is essential to reach a mutually acceptable decision. Telling the client that she does not need to start a family if she doesn't want to does not address the issue of the spouse hinting about starting a family. Asking what the client would do if she became pregnant now does not address the client's desire to wait to start a family. Suggesting the client babysit a friend's child would be a strategy to help a person decide if he or she wants to have a family but does not address the client and spouse's current issue.
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