The parent of an adopted infant tells the nurse, "Our baby was abused before the adoption. I read an article online that said this experience causes problems as a child grows up. What we should be watching for?" Select the nurse's best response
a. "Early trauma sometimes causes learning difficulties, anxiety, and difficulty handling stress later in life."
b. "Early abuse causes the myelin covering of the nerves to overgrow, which leads to high anxiety and mood instability."
c. "Many individuals who experience early trauma and abuse develop symptoms of schizophrenia."
d. "Your child will be normal. Information in online articles is not reliable."
A
Stress increases cortisol levels. Excessive cortisol levels can cause hippocampal atrophy, leading to memory and learning difficulty. Elevated cortisol level is also associated with hypersensitivity of the hypothalamic-pituitary-adrenal (HPA) system, leading to overreaction to stress and possibly a propensity to depression and anxiety. Myelin continues to grow after birth, but overgrowth is not likely as a result of abuse. Stating that the individual is at risk for schizophrenia is incorrect. Online articles may or may not be reliable. The nurse should not give false reassurance about the child's development.
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