A Laboring Patient of Chinese Descent Has Been Very Quiet

A laboring patient of Chinese descent has been very quiet during labor, and has made no noise during contractions during the past 4 hours. The nurse understands that this indicates that the client:

A) Believes pain should be endured and not expressed.
B) Is not in the active phase of labor yet.
C) Will not need pain medication during her hospitalization.
D) Has been abused by her husband, and is afraid to verbalize fear.