7.2e Guiding in the Management of Care

Question 1

Directing of CAre

Answer 1

• Helping parents cope with infant care
• Role changes
• Altered Lifestyle
• Change in family structure
• Developing skills/confidence in caring for infant
• Anticipatory guidance

Question 2

Other Interventions

Answer 2

• Feeding/Bathing/Diaper Change/Car Seat
• Strategies for sibling acceptance
• Positive reinforcement for loving/nurturing infant
• Monitor abuse and mental health issues

Question 3

Lack of Knowledge of Infant CAre-

Answer 3

• Evaluate parental ease of care by monitoring infant care routines such as bathing, diapering, feeding, and playing
• Evaluate signs of inadequate care by observing infant appearance (weight/height/turgor), VS, reflexes, and age-appropriate developmental skills
• Explore support systems for infant
• Provide on-going follow up care and referrals to make sure any deficits or complications are addressed

Question 4

Lack of Sleep (infant demands and environment)

Answer 4

• Assess their sleep patterns and identify what is interfering with their sleep
• Teach guided imagery or relaxation techniques, encourage privacy/darkness when trying to sleep, eliminate caffeine or other things that may affect sleep, the mother should sleep when the baby sleeps
• Help identify support people in the family to take care of the baby while the parents sleep

Question 5

Difficulty incorporating Newborn Into Current Family Situation

Answer 5

• Explore how a baby has changed the family structure
• Observe interactions between the family and the baby such as bonding or sibling rivalry to evaluate acceptance of the new family member
• Clarify any misinformation or misconceptions the family may think when exploring solutions for problems to promote an effective resolution
• Social services or community agencies to ensure ongoing support and care

Question 6

Sibling Adaptation

Answer 6

• Siblings assuming new roles/positions in the family hierarchy
• Parents often have the task of taking care of a newborn while not neglecting the older sibling

Question 7

Sibling Reactions to New Baby

Answer 7

• Influenced by temporary separation from the mother, changes in parent behaviors, or infant coming home
• Parents attitudes during the arrival of the baby set the stage for sibling reaction

Question 8

Negative Behavior Changes of Siblings

Answer 8

• Regression in toileting and sleep habits
• Aggression towards baby
• Increased attention seeking and whining
• Caused by temporary separation from mother

Question 9

Positive Behavior Changes in Siblings

Answer 9

• Interest/Concern for baby while maintaining increased independence
• Touch and smile at the baby

Question 10

Sibling Rivalry

Answer 10

• Jealousy that occurs from baby absorbing most of the time and attention
• Common after initial excitement of new baby