A laboring patient of Chinese descent has been very quiet during labor, and has made no noise during contractions during the past 4 hours. 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: The belief that pain should be endured and not expressed is a common traditional Chinese belief.
Rationale 2: In this case, the nurse must assess for the progression of labor in other ways.
Rationale 3: The nurse cannot make the assumption that no pain relief medication will be needed either during the labor and birth or the postpartum period.
Rationale 4: This patient's silence does not necessarily indicate domestic abuse.
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