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    Ati vati maternal newborn proctored exam

    A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn. Which of the following instructions should the nurse include in the teaching?

    Explanation & Rationale

    Choice A rationale Holding the newborn during the initial visit can inadvertently convey a message of displacement to the older sibling. This is due to the older child's developing cognitive understanding of parental attention and resources. The immediate focus on the new baby might lead to feelings of jealousy or being replaced, potentially hindering positive sibling bonding. Choice B rationale Spending individual time with the older sibling reinforces their continued importance within the family structure. This dedicated attention helps mitigate feelings of neglect or competition, promoting a sense of security and love. It allows the older child to process the family change and feel valued, fostering a more positive acceptance of the newborn. Choice C rationale While involving the older sibling in purchasing a gift can be a positive step, it might not fully address the emotional and psychological adjustments required. The act itself is a superficial gesture and doesn't substitute for direct parental reassurance and quality time, which are crucial for true sibling acceptance and emotional well-being. Choice D rationale Postponing the introduction can create anxiety and resentment in the older sibling. Children often perceive delays as exclusion or secrecy, which can foster negative feelings towards the new baby. An early, supervised introduction, with parental guidance, allows for a more natural and integrated family adjustment.

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