"See, then Share" - Creating a Teachable Moment

Tara, a new home visiting nurse, arrived for her first home visit with Isabella, a brand new mom. Isabella is 18 years old, lives with her parents, and is a new single mom. Her baby was born full term and healthy. Isabella claims to "know nothing about babies" but glows with that enthusiasm (and rush of adrenalin) mother nature bestows on new parents.

Tara glances down at her worksheet. Wow, there is so much that could be covered at this important first visit. Do you have help while your husband is at work? Did the midwife tell you about back-to-sleep?  Do you think that your baby can see your face? Tara's head spins as she wonders where to start.

Last week Tara completed The HUG continuing education class at her health department and is excited to integrate this information into her work as a home visiting nurse. She remembers that the teacher, Jan, said, "If you ever feel confused about what to do next, just See, then Share" the baby's behavior. Jan explained that Seeing the baby's behavior and Sharing that behavior with parents can create an important connection with new parents. 

But first, Tara must "See". She worked hard at the workshop to gain new knowledge and skills in observing and interacting with newborns. She glances over at Isabella son, Mateo, and remarks, "Oh, I see he's in the Ready Zone. He looks ready to play with us." 

Tara's right. Mateo's eyes are bright, his body is rather still, and his breathing is calm and regular. As his mother reaches for her Diet Coke, Mateo follows her with his eyes.

"Oh, I see that he is watching you right now," Tara exclaims. Isabella notices what Tara means and quickly joins the game. She tilts her head slowly in the other direction, and Mateo tracks right after her. "You nosey little man!" Isabella laughs as she picks up her son.

About that time Tara notices Mateo start to change. His eyes drift down, away from his mother's face, and he gets a bit pale. His chin tremors and his body stiffens a bit. "Oh, do you think I've bored him already?" Isabella asks.

But Tara is quick to remember what she just learned from class. "Oh, no," she gently explains. "Mateo is just showing a little SOS, or Sign of Over-Stimulation. That's really normal for new babies. Hey, let's swaddle him for a minute and see what happens."

 Isabella is surprised to see that when swaddled a few minutes, Mateo is able to look back toward his mother; he even turns in her direction when she whispers his name.

"Wow, you're so smart! I'm going to take take super-good care of you!" mother giggles with Mateo in her arms. Isabella snuggles with her baby as Tara covers a few of the important questions from her notes. Seeing, then Sharing this baby's behavior created a teachable moment that every nurse longs for!

© HUG Your Baby 2019