How should the nurse respond to a mother who has just given birth to an infant with Down syndrome and is crying?

The most appropriate response in this scenario is to engage the mother in a conversation about Down syndrome. By asking her what she knows about the condition, you not only provide an opportunity for her to express her feelings and thoughts, but you also allow her to share any misconceptions or fears she may have. This kind of dialogue can help in normalizing the situation and providing emotional support.

Opening up this line of communication is essential, as it demonstrates sensitivity to her experience and recognizes the emotional impact of her situation. It also allows the nurse to offer accurate information and reassurance about Down syndrome, which can alleviate some of the mother's anxiety and help her begin to process the news in a supportive environment.

In contrast, suggesting rest and recovery might overlook her immediate emotional needs, while urging her to "pull yourself together" could be perceived as dismissive and unempathetic. Offering the assistance of a chaplain or social worker may be appropriate, but starting with a conversation directly addressing her emotional state and understanding of the situation fosters a more supportive and empathetic environment right from the start.