A 30-year-old multiparous woman has a boy who is 2½ years old, and now an infant girl. She tells the nurse, "I don't know how I'll ever manage both children when I get home."

Which suggestion would best help this woman decrease sibling rivalry? 1. Tell the older child that he is a big boy now and should love his new sister.
2. Let the older child stay with his grandparents for the first 6 weeks to allow him to adjust to the newborn.
3. Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him.
4. Realize that the regression in habits and behaviors in the older child is a typical reaction and that he needs extra love and attention at this time.


4
1. Incorrect. This strategy is a negative approach to facilitation of sibling acceptance of the new infant.
2. Incorrect. Reactions of siblings may result from temporary separation from the mother. Removing the older child from the home when the new infant arrives may enhance negative behaviors from the older child resulting from separation from the mother.
3. Incorrect. Providing small gifts from the infant to give to the older children is a strategy for facilitation of sibling acceptance of the new infant.
4. Correct. The older child may regress in habits or behaviors (such as toileting and sleep habits) as a method of seeking attention. Parents need to distribute their attention in an equitable manner.

Nursing

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