1. Is it ethically important that the gestational mother is the child’s natural grandmother?

How
would that affect the emotional relationship in the family?
- The natural grandmother of the child's gestational mother is, in my opinion, ethically
important, meaning there should be a deep understanding of ethics before spurring
conclusions. The fetus's grandma being the gestational mother is not ethical because
the surrogate is above 40 years old and is the mother of the individual whose ovum is
used. Despite the fact that the mother is in good health and has agreed to be a
surrogate, the nature of surrogacy is far too obscure to be considered "ethical."
Moreover, it is critical to note that when deciding on the ethical implications of a situation
like this, you must consider the child's best interests as well as their rights. This is
because it is important for a child to be born into a natural family structure that is free of
relational uncertainty. While it may appear to be the parents' right to choose, it may not
be in the best interests of the eventual kid. This would be an act that goes against the
natural flow of human reproduction. Hence, in human nature, a grandmother giving birth
to her biological grandchild would never happen.
- Surrogacy, in which a biological grandmother gives birth to her grandson, is an unnatural
act that purposely disturbs natural family relations, thereby impacting the child's best
interests (Better Health Channel, 2016). Furthermore, there would be a lot of emotional
and psychological anguish if the natural grandma was chosen as the surrogate. This
would pose to be a danger if ever the grandmother build a link with the kid throughout
the pregnancy, leading to her wishing to keep the child, causing emotional turmoil to the
family dynamics.

2. As the nurse who was asked by Jessie and James whether to follow or not their mothers’
suggestions, how would explain the situation?
- Jessie and James' mother is thinking about gestational surrogacy, which involves the
mother carrying the kid to term. With them, me being the nurse, would go over the risks
and benefits of this sort of surrogacy. It is ultimately up to Jessie and James to decide
whether or not to accept their mother's advice. I would inform Jessie and James of the
circumstance by informing them that their mom is keen to be a gestational mother for a
child born using Jessie's ovum and James' sperm. I would then describe the procedure
of gestational surrogacy, which involves the mother carrying the kid to term, as well as
the benefits and risks of this type of surrogacy. Further, I would also go over the
advantages and disadvantages of gestational surrogacy. One of the advantages is that
the mother will be able to give birth to the child and will be the legal parent of the child.
Some of the concerns include the possibility that the child will have genetic abnormalities
if the mother and father are not genetically connected to one another. Additionally,
during the pregnancy, the mother may face some health issues. Before making a
decision, Jessie and James must consider the dangers and rewards of their options.
Jessie and James must ultimately decide whether or not to accept their mother's
advice.I, on the other hand, would be accessible to answer any questions Jessie and
James had regarding the procedure.
3. Defend your answer backed by bioethical principles that are applicable.
- Imagine Jessie and James being given the option of becoming gestational surrogates.
Nonmaleficence, beneficence, and justice are some of the bioethical principles that
would apply in this case (Jahn, 2011; Varkey, 2021). I would justify their answer by
stating that gestational surrogacy is a safe and effective method of conceiving a child
and that the mother would be able to give birth to the child and be the legal parent of the
child. Also, if the mother and father are not genetically related, there is a small chance
that the kid will have genetic abnormalities, but this is a little risk that can be addressed
by genetic testing. Beneficence and non-maleficence are two bioethical principles that
could be applied in this context. According to these principles, the nurse must inform
Jessie and James about the benefits and hazards of gestational surrogacy so that they
may make an informed decision about whether or not to proceed with the procedure.
Autonomy and justice are two more bioethical principles that could be applied in this
case. Jessie and James would need to be provided with all of the information they need
to make an informed decision about whether or not to use a gestational surrogate. For
the mother's time and effort in carrying the child to term to be considered just, she would
have to be rewarded.