A laboring client has been very quiet during labor, and has made no noise during contractions during the past four hours. The client is of Chinese descent. The nurse understands that this indicates that the client:
1. Believes pain should be endured and not expressed.
2. Is not in the active phase of labor yet.
3. Will not need pain medication during her hospitalization.
4. Has been abused by her husband and is afraid to verbalize fear.
1
Rationale:
1. This is a common traditional Chinese belief.
2. Because it is a common traditional Chinese belief to not express pain verbally, the nurse must assess for the progression of labor in other ways.
3. Although it is a common traditional Chinese belief to not express pain verbally, the assumption cannot be made that no pain relief medication will be needed either during the labor and birth or the postpartum period.
4. It is a common traditional Chinese belief to not express pain verbally, and does not indicate domestic abuse.
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