A mother shows signs of alcohol impairment on the last day of her infant's hospital stay. What should the nurse do?

The most appropriate action in this situation is to engage with the mother about her condition and evaluate her willingness for an alternate discharge plan. It is crucial for the nurse to prioritize the safety and well-being of both the mother and the infant. By discussing the mother's signs of alcohol impairment, the nurse can gain insight into her current state and whether she feels capable of caring for her infant after leaving the hospital.

This approach allows for open communication and supports a collaborative decision-making process. It also shows sensitivity to the mother's needs while ensuring that appropriate measures are taken to safeguard the infant’s health. Depending on the mother’s willingness and the assessment of her capabilities, the nurse may be able to develop a suitable discharge plan that could include arranging for additional support or resources to assist the mother at home.

This option emphasizes the importance of assessment and dialogue, rather than immediately taking drastic measures without understanding the mother’s perspective or needs. It also aligns with a family-centered care approach, which is particularly important in maternal and child health contexts.