Activity 5: Paperwork

Influence of Culture
during Childbearing, Childbirth & Postpartum

Name: VERAZON, JAYLORD B. Section: BSN-4B. Date: MARCH 28, 2022

Read and understand chapter 5 of our textbook and supply concise answers to the following
review questions. Submit the output at the LMS on or before the scheduled date. Happy
working.
1. How will the biologic variations that were discussed impact the nursing care of the
childbearing woman and her family?
Nurses who work with pregnant women must be aware of biological differences caused by inherited
and environmental variables. Pregnant women with sickle cell trait and heterozygous for the sickle
cell gene, for example, are more prone to have asymptomatic bacterial and urinary tract infections
such pyelonephritis.

Diabetes mellitus is another key physiologic difference associated with pregnancy. Some American
Indian populations have considerably higher rates of non-insulin-dependent and gestational diabetes
than the general population, an issue that worsens mother and newborn morbidity. Symptoms that
are typical among European Americans may manifest differently in American Indian customers. An
American Indian woman, for example, may have a high blood sugar level but be asymptomatic for
diabetes.

2. Describe the special needs of lesbian couples during the childbearing process. What are
common prejudgments about lesbian mothers and how can they affect care?
The most common fear mentioned by lesbian mothers is that once the mother's sexual orientation is
revealed, the practitioner will deliver dangerous and substandard care. Lesbians thinking about
starting a family should examine the following four factors:
(1) Identifying sensitive caregivers and disclosing sexual orientation to providers
(2) Options for conception
(3) assurance of partner commitment
(4) How to protect both the parents and the child legally.

Phenomenology was utilized to interpret pregnant lesbian couples' statements of their maternity
experiences due to special needs of the lesbian relationship. The narratives were intertwined with
themes of vulnerability, responsibility, and caring, revealing that pregnant lesbian women who
disclose their sexuality to their health care provider risk being judged and discriminated against. Three
themes emerged from the findings: being open, being exposed, and being affirmed.
3. Compare traditional Western medical support for pregnant women with nontraditional
support, and describe why both might be critical for successful pregnancy outcomes in
women from diverse backgrounds.
Western Medical Support
• Western medicine is typically thought to be more focused on cures than on prevention.
• Because many cultural groups regard pregnancy as a natural physiologic process that does not
necessitate the medical services of a doctor, pregnant women in these cultures may postpone or refuse
to seek prenatal care.
• A Mexican American family, for example, may take their child to a doctor and/or a traditional healer
(curandero). Following visits to the doctor and the curandero, the mother may speak with her own
mother before administering antibiotics prescribed by the doctor and herbal tea recommended by the
traditional healer to her sick kid. If the problem is caused by a virus, the child will recover as a result of
his strong immune system.
• On the off chance that the issue is viral in beginning, the youngster will recuperate in light of their own
inborn immunologic safeguards, autonomous of one or the other treatment. Along these lines, both the
natural tea of the curandero and the penicillin recommended by the doctor may be seen as society
cures; neither one of the mediations is answerable for the kid's recuperation.

Nontraditional Support
• Numerous childbearing ladies depending on modern emotionally supportive networks. For couples
who are hitched, white, working class, and rare clients of their more distant family for counsel and
backing in labor related matters, this sort of help probably won't be critical.
• In any case, for other, more customary social gatherings, including African Americans, Hispanics,
Filipinos, Asians, and Local Americans, the family and informal organization (particularly the grandma or
other maternal family members) might be of essential significance in exhorting and supporting the
pregnant lady.
• Roughly 41% of Filipino births are upheld by native chaperons called hilots. The orderlies go about as
an advisor all through the pregnancy. During the post pregnancy time frame, the hilot plays out a formal
wipe shower with oils and spices, which is accepted to have both physical and mental advantages. The
more distant family is engaged with the consideration of the child, mother, and the family.

4. Why is it important to understand the differences between prescriptive and restrictive

beliefs of a mother’s behavior during pregnancy?
• Prescriptive convictions, when phrased decidedly, characterize how ought to be had a sound child;
prohibitive convictions, when expressed contrarily, limit choices and activities and are rehearses/ways
of behaving that the mother shouldn't do to have a solid child.
• During pregnancy, our nation has a great deal of prescriptive and prohibitive regulations,
particularly among our older. Whenever somebody is pregnant, there are a ton of things we ought to
do and stay away from. What's more, as attendants, we comprehend that an individual's way of life of
convictions is generally joined in our arrangement of care. It's challenging to move toward somebody
who is solidly settled in her convictions, regardless of whether they are unsafe to her. Our obligation
here is to instruct and yet again underline to the Client what we are familiar subjects. Be that as it
may, we can't drive our cravings; all things being equal, independence will be practiced by regarding
our patients' choices.

5. How can nursing interventions for the pregnant American Indian woman presenting for
 Intimate Partner Violence care be made more culturally congruent?
• Family viciousness has not generally been a component of Native American culture. Native
American practices find generally been focused on harmony and regard.
• Social crumbling, neediness, seclusion, prejudice, and tipsiness are a couple of the issues that have
added to savagery in Native American social orders.
By the by, mercilessness to ladies and kids keeps on being seen by Native Americans as a social
shame.
• The muddling component of lifetime misuse occasions was demonstrated to be a huge supporter of
preterm birth and LBW newborn children. This implies that the attendant shouldn't just survey for
current maltreatment by the life partner or better half yet in addition assess different kinds of misuse
incurred over the mother's lifetime, for example, liquor or illicit drug use.
• Brutality against ladies has not been tended to sufficiently in light of the male-overwhelmed
authority, different necessities of the clans, and the disgrace related with misuse.
• Whenever misuse has been found, the degree of the maltreatment should be evaluated. The
attendant should then advance in and give data, offer choices, and backing the woman in her choice.
Local American materials ought to be focused on since they are frequently made to be socially
delicate. If by some stroke of good luck non-Indian assets are accessible, the medical caretaker ought
to work inside these associations.