Culture and Postpartum Period

Question 1

_____________ is reported worldwide. However, identifying and reporting of ______ 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 1

Postpartum Depression (PDD)

Question 2

• views PDD as a sign of spirit possession.

Answer 2

Some traditional Muslim cultures

Question 3

is a possession by an evil spirit that has a negative power over the mind and the body.

Answer 3

Jinn possession

Question 4

What are the symptoms of Jinn possession?

Answer 4

Anxiety
Crying
Mood swings
Emotional instability

Question 5

Are symptoms of jinn possession the same as PDD?

Answer 5

Yes

Question 6

The study of Hanely and Brown (2014) about Jinn possession have four themes:

Answer 6

 shared knowledge of Jinn possession
 symptoms of possession
 risk factors for possession
 preventing and treating Jinn possession

Question 7

is considered a “hot” state. Because a great deal of the heat of pregnancy is thought to be lost during the birth process, postpartum practices focus on restoring the balance between the hot and cold, or yin and yang.

Answer 7

Pregnancy

Question 8

This theory focus on the avoidance of cold, in the form of air, water, or food.

Answer 8

Hot/ Cold Theory

Question 9

Fear of detrimental effects of cold air and water in the postpartum period that can cause cultural conflict when the woman and infant are hospitalized.

Answer 9

Hot/ Cold Theory

Question 10

True or False

The use of perineal ice packs and sitz baths to promote healing can be replaced with the use of heat lamps, heat packs, and anesthetic or astringent topical agents for those who prefer to avoid cold influences.

Answer 10

True

Question 11

True or False

The nurse should tell a postpartum woman to eat hospital food to comply with her dietary prescription. Even though the patient has no dietary restrictions.

Answer 11

False

Dietary prescriptions are also common in this postpartum period. The nurse might note that a woman eats little “hospital” food and relies on family and friends to bring food to her while she is in the hospital. If there are no dietary restrictions for health reasons, this practice should be respected.

Question 12

True or False

Pt might avoid eating fruits and vegetables and certainly cold drinks because they are considered “cold” foods.

Answer 12

True

Question 14

__________ women are encouraged to stay indoors and avoid strenuous work. Since pregnancy and birth are believed to cause a “hot” state, the woman should avoid “hot” activities such as excessive exercise, including sex, strenuous household chores, quarrelling, or crying in order to achieve the balance between hot and cold

Answer 14

Hispanic

Question 15

Some women from traditional cultural groups view themselves as “sick” during the post partal lochia flow. They might avoid _______, _______, _______, or ___________ during this time.

Answer 15

heavy work
showering
bathing
washing their hair

Question 16

Many traditional cultures suggest that a woman can resume normal activities in as little as __ weeks; others suggest waiting up to __ months

Answer 16

2 weeks; 4 months

Question 17

are part of the traditional Hmong culture, and with the continued growth in the number of Hmong Americans emigrating from California to different areas of the United States, cultural conflicts are common, especially in the areas of reproductive health

Answer 17

Placental burial rituals

Question 18

In an effort to assimilate, many Hmong have continued to use _________ and _________ in addition to using Western medicine

Answer 18

animistic ceremonies and herbal remedies

Question 19

The ________ believe the placenta is the baby’s “first clothing” and must be buried at the family’s home, in a place where the soul can find the afterlife garment once the person is deceased.

Answer 19

Hmong

Question 20

True or False

In Hmong culture, if the soul is unable to find the placental “jacket,” it will not be able to reunite with its ancestors and will spend eternity wandering.

Answer 20

True

Question 21

True or False

In the study of Helsel and Mochel, due to the acculturation, and embracement of Western culture of Hmong immigrants, they believed it is alright not to bury the placenta.

Answer 21

False

Helsel and Mochel’s study (2002) suggests that even though Hmong immigrants have embraced Western culture, traditional Hmong beliefs about placental burial remain an important cultural belief.