A nurse is advising a couple on how to facilitate sibling adaptation for their 5-year-old daughter. Which intervention is most appropriate?

• A. Involve the sibling in planning and care of the newborn
• B. Accept behavioral changes as manifestation of the adjustment process
• C. Encourage acquaintance behaviors between the sibling and the infant
• D. Limit the sibling's contact with the newborn until the family is settled

Answer: (A)

Involving the older child in planning and care of the newborn helps the child feel included and important during a big family transition. A 5-year-old can take on simple, safe tasks and be part of decisions about routines, supplies, and loving interactions. This participation gives the child a sense of control, reduces insecurity or rivalry, and fosters a positive bond with the new sibling. When the older child sees themselves as a helper rather than being pushed aside, their self-esteem grows and they are more likely to cooperate and adjust well.

Limiting contact until the family feels settled can heighten feelings of exclusion and jealousy, while simply accepting behavioral changes as the adjustment process and encouraging only basic acquaintance with the baby do not actively support the older child’s sense of involvement and purpose. Providing ongoing reassurance, opportunities to contribute, and age-appropriate responsibilities is the most supportive approach.