The nurse is working with the family of a baby born with a cleft lip and cleft palate. The family has shown a lot of negative feelings toward the baby and seems preoccupied with the baby's appearance
Which of the following actions by the nurse would be best? a. Provide support, model accepting behaviors, and encourage touching and holding.
b. Tell the family that this is a time then they must stand strong and help their baby.
c. Suggest that there have been worse cases than this one, which is not all that bad.
d. Ask the family to think about the fact that at least they have a baby even if it is not perfect.
A
Feedback
A Correct. The best actions by the nurse are to provide support, model accepting behaviors, and encourage touching and holding. Negative feelings by the caregivers may disrupt or delay attachment. The family's reactions are normal, but the nurse can aid in the bonding process by demonstrating acceptance of the baby.
B Incorrect. Telling the family that this is a time then they must stand strong and help their baby is not a helpful action by the nurse, nor is it the best.
C Incorrect. Suggesting that there have been worse cases than this one, which is not all that bad, negates their feelings and is not the best nursing intervention. Pointing out the baby's positive attributes can help decrease the focus of the defect.
D Incorrect. Asking the family to think about the fact that at least they have a baby even if it is not perfect is not an appropriate response from the nurse.
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