Nursing Elites

1. During the third stage of labor, __________.

• A. the cervix thins to nothing
• B. uterine contractions begin
• C. the placenta is delivered
• D. the baby is born

Correct answer: C

Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.

2. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

3. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

4. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

5. Which state of arousal is considered the most fleeting?

• A. Regular sleep
• B. REM sleep
• C. Drowsiness
• D. Quiet alertness

Correct answer: D

Rationale: Quiet alertness is indeed the most fleeting state of arousal. This state is characterized by a newborn infant being awake, calm, and attentive, but it is short-lived and transitions quickly to other states of arousal. Regular sleep, REM sleep, and drowsiness are not considered as brief and transitional as quiet alertness in newborn infants.

Similar Questions