The nurse is caring for a 15-year-old patient who gave birth to her first child yesterday. What action is the best indicator that the nurse understands the parenting adolescent?
1. The patient's mother is included in all discussions and demonstrations.
2. The father of the baby is encouraged to change a diaper and give a bottle.
3. The nurse explains the characteristics and cues of the baby when assessing him.
4. A discussion on contraceptive methods is the first topic of teaching.
3
Rationale 1: Although the parents of adolescents are often involved with child care and childrearing, this action is only appropriate if the patient wishes to have her mother present for teaching and discussions.
Rationale 2: Involvement of the father is important, but having the mother learn more about her new baby is a higher priority.
Rationale 3: This action helps the patient learn about her baby as an individual and facilitates maternal–infant attachment. This is the highest priority.
Rationale 4: Young teens are statistically more likely to have another child during their adolescence, but establishing rapport and facilitating understanding of and attachment to the newborn is a higher priority.
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