A health care worker need to be aware of the following cultural considerations when addressing issues related to the female reproductive system:values and attitudes of different cultures, taboos, norms, believes and practices of different cultures. The health care should not offend the patient and develop prejudice and misconceptions. Some cultures forbid discussing reproductive issues with certain gender.
She is relying on the primary source. This is because, the writer is first hand information about the experience of the author. What made it a primary source is also coupled with the fact that, the writer is the one that experience it and the one that is wrote the book based on his experience.