Nursing Elites

1. As a generation, the baby boomers are __________ than any previous mid- or late-life cohort.

• A. healthier, but less educated
• B. more educated, but less wealthy
• C. more self-focused, but less healthy
• D. healthier, better educated, and financially better off Answer: D Page Ref: 13 Box: CULTURAL INFLUENCES: The Baby Boomers Reshape the Life Course Skill Level: Remember Topic: The Lifespan Perspective: A Balanced Point of View Difficulty Level: Moderate

Correct answer: D

Rationale: The baby boomers are healthier, better educated, and financially better off than any previous mid- or late-life cohort. This generation has generally enjoyed higher levels of education, advancements in healthcare, and increased economic opportunities, leading to improved overall well-being compared to earlier generations.

2. Which factor disrupts the brain's regulation of hunger and metabolism?

• A. Self-regulation
• B. Frequent eating out
• C. Reduced sleep
• D. Using screen media

Correct answer: C

Rationale: Reduced sleep is the correct answer as it affects hormones that regulate hunger and metabolism, leading to increased appetite and weight gain. Self-regulation is not directly related to the brain's regulation of hunger and metabolism. Frequent eating out may impact food choices and portion sizes but is not specifically linked to disrupting the brain's regulation. Using screen media can affect sleep patterns but is not as directly related to the brain's regulation of hunger and metabolism as reduced sleep.

3. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

4. __________, a strong type of painkiller used in labor and delivery, blocks sensation.

• A. Anesthetics
• B. Analgesics
• C. Anti-inflammatories
• D. Folic acids

Correct answer: A

Rationale: Anesthetics, such as epidurals, are a strong type of painkiller used in labor and delivery that block sensation. They work by numbing the nerves in the lower part of the spine, providing pain relief during childbirth. Choice B, Analgesics, are pain relievers that reduce pain without causing loss of consciousness, but they are not as strong as anesthetics for labor pain. Choice C, Anti-inflammatories, are medications that reduce inflammation and do not directly block sensation like anesthetics. Choice D, Folic acids, are a type of B vitamin crucial for cell growth and metabolism, not used as painkillers in labor and delivery.

5. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

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