Nursing Elites

1. During her labor, Renee asks for a mild dose of painkillers to help her relax. Renee will probably be given __________.

• A. an anesthetic
• B. an analgesic
• C. folic acid
• D. an anti-inflammatory medication Answer: B Page Ref: 97 Skill Level: Apply and any dangers associated with each. Topic: Medical Interventions Difficulty Level: Moderate

Correct answer: B

Rationale: Renee will likely be given an analgesic during her labor to help manage her pain and provide relaxation. Analgesics are painkillers that can help reduce pain without causing loss of consciousness, making them suitable for labor pain management. Examples of analgesics commonly used during labor include opioids like morphine and non-opioids like acetaminophen.

2. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

3. Jade spent two years in a Mexican-American community studying communication between parents and children. Jade was using __________.

• A. naturalistic observation
• B. ethnography
• C. self-reports
• D. structured observation

Correct answer: B

Rationale: Jade was using ethnography. Ethnography involves the systematic study of people and cultures through participant observation and interviews. In this case, Jade spent two years in a Mexican-American community studying communication between parents and children, which aligns with the methodology of ethnography. Ethnography allows researchers to gain an in-depth understanding of a particular cultural group's behaviors, practices, and beliefs. Choice A, naturalistic observation, involves observing subjects in their natural environment without interference or manipulation. While similar to ethnography in some aspects, naturalistic observation does not typically involve the same level of cultural immersion and participant interaction as ethnography. Choice C, self-reports, refers to data collected directly from participants about their thoughts, feelings, or behaviors. This method relies on participants' subjective responses and may not provide the same depth of cultural insights as ethnography. Choice D, structured observation, involves observing behavior in a structured and controlled environment. Unlike ethnography, structured observation does not focus on the cultural nuances and immersive study of a specific community.

4. Which statement about the harm done by teratogens is true?

• A. Passive smoking can be harmful to the developing fetus.
• B. The genetic makeup of the mother and the developing organism plays an important role.
• C. The negative impact of teratogens is usually reversible.
• D. The most serious defects occur in the germinal period.

Correct answer: B

Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.

5. __________ increases tenfold from the twentieth week until birth.

• A. Amniotic fluid
• B. Brain weight
• C. Fetal length
• D. Neuron production

Correct answer: B

Rationale: Brain weight increases tenfold from the twentieth week until birth. This rapid growth and development of the brain during the prenatal period is crucial for setting the foundation for future cognitive and neurological functions. Choices A, C, and D are incorrect because although they also undergo changes during prenatal development, none of them increase tenfold from the twentieth week until birth, unlike brain weight.

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