Which client is most likely to have the least stress adjusting to ...

[Yi-Chen]

Which client is most likely to have the least stress adjusting to her role as a mother?
 
  a. A 26-year-old woman who is returning to work in 10 weeks
  b. A 35-year-old anxious mother who has had no contact with babies or children
  c. A 16-year-old teenager who lives with her parents and has a strained relationship with her mother
  d. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth

Question 2

A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back.
 
  Which action should the nurse should take?
 
  a. Report the incident to the social services department.
  b. Advise the parents that the older son needs to be reprimanded.
  c. No action; this is a normal family adjusting to family change.
  d. Report to oncoming staff that the mother is probably not a good disciplinarian.

[mammy1697]

Answer to Question 1

ANS: A
The woman who has the least amount of stress in her life will adjust more quickly to her role as a mother. The anxious mother with no real experience with babies may have a difficult time adjusting to motherhood. The teenager has a significant amount of stress in her life, which could make adjusting to her role as a mother more difficult. The 25-year-old mother has the added stress of twins, which may make motherhood adjustment more difficult.

Answer to Question 2

ANS: C
The observed behaviors are normal variations of families adjusting to change. There is no need to report this one incident. Giving advice at this point would make the parents feel inadequate as parents. This is normal for an adjusting family.