The nurse in labor and birth is caring for a Muslim client during ...

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The nurse in labor and birth is caring for a Muslim client during the active phase of labor. The nurse notes that the client quickly draws away when touched. Which intervention should the nurse implement?
 
  a. Ask the charge nurse to reassign you to another client.
  b. Assume that she doesn't like you and decrease your time with her.
  c. Continue to touch her as much as you need to while providing care.
  d. Limit touching to a minimum because physical contact may not be acceptable in her culture.

Question 2

Which client may require more help and understanding when integrating the newborn into the family?
 
  a. A primipara from an upper income family
  b. A primipara who comes from a large family
  c. A multipara (gravida 2) who has a supportive husband and mother
  d. A multipara (gravida 6) who has two children younger than 3 years

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Answer to Question 1

ANS: D
Touching is an important component of communication in various cultures, but if the client appears to find it offensive, the nurse should respect her cultural beliefs and limit touching her. Asking the charge nurse to reassign you could be offensive to the client. A Muslim's response to touch does not reflect like or dislike. By continuing to touch her, the nurse is showing disrespect for her cultural beliefs.

Answer to Question 2

ANS: D
Pregnancy tasks are more complex for the multipara (gravida 6), and she may need special assistance to integrate the infant into the family structure. A primipara from an upper income family has the financial resources to assist her with daily care of the home. This leaves her free to concentrate on the newborn's needs. The primipara with a large support system has help available to her. The multipara (gravida 2) who has a supportive husband and mother has a support system to assist with integrating the infant into the family structure.