Fabon, Aggiem

Montibon, Joana
Burahan, Fatima Rayhan

BSN 2
NCM 107j – E
26/08/2020

Julia Bareta, is a 22-year-old woman who just realized she is pregnant. She is delighted with the
news, and so she was surprised to hear her 4-year-old daughter, Joella, scream that she didnt want a
brother or a sister. Julia and Joella both live with Julia's mother in a 2-bedroom house. Her mother's
reaction to learning about the pregnancy was to ask, "How will I fit another crib in the here?" Julia works
nights as a nurse's assistant at a local nursing home. Her supervisor's reaction was to frown and say,
"Don't ask me to change your work schedule because you're tired all the time."

1. I Joella's reaction to learning a new sibling is on the way unusual? What

could Julia do to win over her over about the new baby?

• According to common psycholigical changes that occur pregnancy is first the mother should
explain to joella that she will become a big sister and explain to her that a new baby will be am
addition to the family and will not replace them in thie parents affection.

It is very likely that the first born may have a range of emotions, from excitement to jealousy or
even resentment. As for Joella's case, it seems that she's jealous and scared that her mother
would forget about her because of the new born. So to make Joella must:

• - Make time just for you and your older child.

• - Read stories that will help your child understand what's happening in the family.
• -Acknowledge Joella's feelings and shouldnt scold her may cause rebellion .
• - Assure your child that although the baby needs attention, there will still be plenty of time and
love for her.

2. Both Julia's mother and her work supervisor don't sound happy about the new baby either. What
could she do to win them over?

• Don't start with apologies but instead let your boss know that you're happy with the pregnancy.
and that you're confident in your ability and committed to your plan to mix work and family.
• Julia must have the support coming from her mother and also from any other family members ,
supporting someone during their pregnancy stage is very important.
 Fabon, Aggiem
Montibon, Joana
Burahan, Fatima Rayhan

BSN 2
NCM 107j – E
26/08/2020
• Explain it to the mother about having a new child in the family and as a mother she needs to
accept the fact that there is an addition to the family and she needs some support on this
pregancy and there is always a solution on having a space on their house and there is alway a
solution to it.
• - Have a mother-mother talk
• - Assure that you will do better in taking care of her child
• - Let them know that you're very happy with the pregnancy
• - Ask her to be considerate

3. Julia is happy about her pregnancy but surrounded by a circle of negative reactions. could this affect
her acceptance of the pregnancy? What patient education can you provide to assist her in responding to
these situations?

• It is possible that negative environment can affect the mother and the baby because if the
mother is stress during her term in pregnancy it will effect on the development of the fetus.

• It will affect Julia psycholigical thought because joella doesnt want a brother or sister and her
supervisor doesnt want to affect the work.

• We can provide by assessing her for preconception counseling. During a preconception assess
by evaluating her health wellness and assessing Julia's health and nutritional status as well as
the well being of the fetus because the main problem of her is her family and work and possible
risk for child laboring.