A client has just been admitted for labor and delivery. She is ...

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A client has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The client wants to have a medication-free birth.
 
  When discussing medication alternatives, the nurse should be sure the client understands which of the following? 1. In order to respect her wishes, no medication will be given.
  2. Pain relief will allow a more enjoyable birth experience.
  3. The use of medications allows the client to rest and be less fatigued.
  4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.

Question 2

A patient from Mexico has just delivered a son, and the nurse offers to assist in putting the baby to breast.
 
  Although the patient indicated before the birth that she wanted to breastfeed, she is very hesitant, and says she would like to bottle-feed for the first few days. After talking to her, the nurse understands that her primary reason for wanting to delay breastfeeding is based on her cultural belief that: 1. Breast milk causes skin rashes.
  2. It is harmful to breastfeed immediately.
  3. Colostrum is bad for the baby.
  4. Thin milk causes diarrhea.

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Answer to Question 1

4
Explanation: 4. The nurse can explain to the couple that, although pharmacologic agents do affect the fetus, so do the pain and stress experienced by the laboring mother. If the woman's pain and anxiety are more than she can cope with, the adverse physiologic effects on the fetus may be as great as would occur with the administration of a small amount of an analgesic agent. Once the effects are explained, however, it is still the client's choice whether to receive medication.

Answer to Question 2

3
Rationale 1: This is believed by the Haitian culture.
Rationale 2: This is not a cultural belief of Latinos.
Rationale 3: Some Latino cultures believe breastfeeding should be delayed because colostrum is bad for the baby.
Rationale 4: This is a Haitian cultural belief.