Which strategies should the nurse suggest to a postpartum client to promote stress reduction during the first weeks at home? (Select all that apply.)
a. Limiting coffee, tea, cola, and any caffeinated beverages
b. Maintaining a rigid schedule
c. Sleeping when the infant sleeps
d. Inviting visitors and friends to stop by frequently
e. Using learned breathing techniques from childbirth classes for relaxation
ANS: A, C, E
To promote stress reduction during the first weeks at home, the nurse can suggest that parents limit coffee, tea, colas, and chocolate, because they contain caffeine and will interfere with rest. Recommend that the mother sleep when the infant sleeps and conserve her energy for care of the baby. Suggest breathing exercises and progressive relaxation to reduce stress and increase her energy level, especially when a nap is not possible. The schedule should be flexible; a rigid schedule or meticulous environment increases tension within the family. The parents should let friends and relatives know sleep and nap times and request that they limit visits or telephone before visiting.
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