Cultural Issues Impacting Prenatal Care - Cultural Meaning Attached to Infant Gender

Question 1

__________ childbearing women seem to represent a healthy model for preventing LBW infants.

Answer 1

Mexican American

Question 2

___________ emerged as a protective approach to stress reduction and health promotion.

Answer 2

Selective biculturalism

Question 3

natural diet: eat right;

Answer 3

come bien

Question 4

exercise for well-being: walk;

Answer 4

camina

Question 5

avoidance of worry or stress, which could have a negative effect on the pregnancy outcome: don’t worry;

Answer 5

no use preocupe

Question 6

The women interviewed indicated that regardless of the level of acculturation to US culture, during pregnancy, they returned to traditional Mexican practices. What are those practices?

Answer 6

• low-fat, high-protein
• natural diet (eat right—come bien)
• exercise for well-being (walk—camina)
• avoidance of worry or stress, which could have a negative effect on the pregnancy outcome (don’t worry— no se preocupe).

Question 7

For traditional _______ women from the Middle East, the vaginal examination can be so intrusive and embarrassing that they avoid prenatal visits or request a female physician or midwife.

Answer 7

Islamic

Question 8

For women of other cultural groups, common discomforts of pregnancy might be managed with

Answer 8

• folk
• herbal
• home or over-the-counter remedies on the advice of a relative or friends

Question 9

Women from diverse cultural backgrounds often use culturally appropriate ways of preparing for labor and delivery. These methods might include assisting with childbirth from the time of:

Answer 9

• Adolescence
• Listening to birth and baby stories told by respected elderly women,
• Following special dietary
• Activity prescriptions during the antepartum period.

Question 10

In ________ culture, pregnant women and their significant others attend childbirth classes/or get pregnancy information from the Internet.

Answer 10

American

Question 11

Preparation for childbirth can be developed through programs that allow for cultural variations including:

Answer 11

• Classes during and after the usual clinic hours in busy urban settings,
• Teen-only classes
• Single-mother classes
• Group classes combined with prenatal checkups at home
• Classes on rural reservations, and presentations that incorporate the older “wise women” of the community.

Question 12

True or False

Western culture generally views birth as an achievement. This achievement is not always attributed solely to the mother but extends to the medical staff as well. Gifts and celebrations are often centered on the newborn rather than the mother

Answer 12

True

Question 13

All cultures have an approach to birth rooted in a tradition of home birth, being within the province of women. For generations, traditions among the poor included the use of “_____” midwives by rural Appalachian Whites and southern African Americans and “_________” by Mexican Americans.

Answer 13

granny
parteras

Question 14

__________ women are reluctant to share information about pregnancy and childbirth as these subjects are taboo to talk about with others.

Answer 14

Liberian

Question 15

True or False

Orthodox Jewish woman considerations needed in labor and delivery (Noble et al., 2009):
1. may choose a man from the community as a labor support person
2. keeping the laboring mother’s head covered at all times, perhaps by providing her with a surgical cap
3. allowing an Orthodox man to pick up his newborn directly from the crib versus having a female nurse or physician hand him the newborn
4. practicing Orthodox men are not allowed contact with adult women other than their spouses

Answer 15

1. F dapat woman
2. T
3. T
4. T

Question 16

T or F

Women of Islamic, Chinese, and Asian Indian backgrounds. Practices followed by these groups might include strict religious and cultural prohibitions against viewing the woman’s body by either the husband or any other man.

Answer 16

T

Question 17

According to Ludwig-Beymer (2008), ____ is a highly personal experience, dependent on cultural learning, the context of the situation, and other factors unique to the individual.

Answer 17

pain

Question 18

In the past, it was commonly believed that because women from ________ and __________ cultures were stoic, they did not feel pain in labor (Bachman, 2000)

Answer 18

Asian and Native American

Question 19

Callister and Vega (1998) reported that ______ women in labor tend to vocalize their pain.

Answer 19

Guatemalan

Question 20

_________, _________, ___________, __________, and other women of _______ descent maintain that screaming or crying out during labor or birth is shameful; birth is believed to be painful but something to be endured (Bachman, 2000).

Answer 20

Japanese, Chinese, Vietnamese, Laotian
Asian

Question 21

favored birth position is seated position in a birth chair

Answer 21

Mexican American women

Question 22

squatting position chosen as birthing position

Answer 22

Laotian Hmong women

Question 23

families saw males as being the preferred gender of the firstborn child for reasons including male dominated inheritance patterns, carrying on the family name, and becoming the “man” of the family should the need arise

Answer 23

United States

Question 24

the preferred sex of the firstborn child is male.

Answer 24

Asian culture

Question 25

True or False In Asian culture, if a mother does not have the preferred firstborn sex, does this increase the likelihood of postpartum depression (PPD) or negatively impact mother–infant bonding, cultural belief that there is a relationship between a mother’s mood and the gender of an Asian woman’s firstborn child

Answer 25

True

Question 26

True or False There were no significant differences between Asian women whose firstborn children were female or male in their reports of feeling depressed or sad

Answer 26

True

Question 27

Many Asian women may not be comfortable expressing their feelings regarding mood, and, as their cultural beliefs dictate, they may remain in bed for up to __ month, to assist in healing.

Answer 27

one

Question 28

_________ medicine considers pregnancy and birth the most dangerous and vulnerable time for the childbearing woman

Answer 28

Western

Question 29

is reported worldwide. However, identifying and reporting of PPD in non-Western cultures may be delayed by culturally unacceptable labeling of the disorder, varying symptoms, or differences in treatments from culture to culture.

Answer 29

Postpartum Depression (PDD)

Question 30

Some w_________