An adolescent has vaginally given birth to a healthy baby. What action by the nurse would be most important in developing a plan to help this mother bond successfully?
A.
Ask the mother about her expectations of the baby and their relationship.
B.
Determine if the mother plans to keep the baby or give it up for adoption.
C.
Inquire as to how many family members are available to help care for the baby.
D.
Refer the mother and her baby to the social worker or to the visiting nurses.
ANS: A
Adolescent mothers may have difficulty with bonding and attachment because they have unrealistic ideas of the baby's level of functioning and may not be aware of the baby's level of vulnerability. Asking about the mother's expectations for the baby and their relationship is a good starting point to initiate a discussion about this topic. Plans for keeping or adopting the baby should have already been established. Family members can help give the mother a break from infant care, but the less the mother cares for the baby, the less bonding she will demonstrate. A referral may be needed, but this is not the first action.
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