Answer to Question 1
ANS: B
Often siblings have a rough time adapting to the arrival of a new sibling. Some suggestions for the parents are to talk to the child about her feelings, teach the child how to play with the baby, praise age-appropriate behaviors and do not criticize regressive behaviors (regression is common), set aside special time each day for the older child, and give the older child a special chore to be a big helper for Mommy. A special chore, such as bringing diapers when the baby needs changing, can help boost her self-esteem and make her feel important to the family.
Answer to Question 2
ANS: A
Adolescent mothers may have difficulty with bonding and attachment because they have unrealistic ideas of the baby's level of functioning and may not be aware of the baby's level of vulnerability. Asking about the mother's expectations for the baby and their relationship is a good starting point to initiate a discussion about this topic. Plans for keeping or adopting the baby should have already been established. Family members can help give the mother a break from infant care, but the less the mother cares for the baby, the less bonding she will demonstrate. A referral may be needed, but this is not the first action.
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