A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back
Which action should the nurse should take?
a. Report the incident to the social services department.
b. Advise the parents that the older son needs to be reprimanded.
c. No action; this is a normal family adjusting to family change.
d. Report to oncoming staff that the mother is probably not a good disciplinarian.
ANS: C
The observed behaviors are normal variations of families adjusting to change. There is no need to report this one incident. Giving advice at this point would make the parents feel inadequate as parents. This is normal for an adjusting family.
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