Nursing Elites

1. Fetal monitoring is __________.

• A. rarely used in U.S. hospitals
• B. linked with low birth weight
• C. linked with a decreased rate of cesarean deliveries
• D. required in most U.S. hospitals

Correct answer: D

Rationale: Fetal monitoring is required in most U.S. hospitals during labor and delivery to track the baby's heart rate and the mother's contractions. This helps healthcare providers to assess the well-being of the fetus and make timely decisions regarding the need for interventions if any complications arise. Choices A, B, and C are incorrect because fetal monitoring is a standard procedure in most hospitals to ensure the safety and health of both the mother and the baby during labor.

2. Professor Higgins is concerned about the findings of a longitudinal study on childhood depression that she conducted between 1985 and 2015 in New York because many of the participants witnessed the terrorist attacks on the World Trade Center. Professor Higgins is concerned about __________ effects.

• A. practice
• B. cross-sectional
• C. dropout
• D. cohort

Correct answer: D

Rationale: The concern Professor Higgins has regarding the findings of the longitudinal study is related to cohort effects. Cohort effects occur when a specific group of individuals experience a common event or circumstance that could influence the results of a study. In this case, the participants witnessing the terrorist attacks on the World Trade Center could have had a significant impact on their development and mental health outcomes, leading to cohort effects observed in the study. Choice A, 'practice,' is incorrect as it refers to the repeated performance of an activity to improve skill. Choice B, 'cross-sectional,' is incorrect as it involves data collection at a single point in time. Choice C, 'dropout,' is incorrect as it refers to participants leaving a study prematurely.

3. This means that Andrew __________.

• A. is in good physical condition
• B. needs assistance in establishing breathing and other vital signs
• C. is in serious danger and should receive emergency medical attention
• D. was in danger at birth, but quickly recovered and is now in good physical condition Answer: B Page Ref: 95 Skill Level: Apply newborn baby’s appearance. Topic: Childbirth Difficulty Level: Difficult

Correct answer: B

Rationale: The statement "Andrew needs assistance in establishing breathing and other vital signs" refers to the initial steps taken to ensure a newborn's well-being after birth. This is a common practice to ensure that the newborn is transitioning smoothly into the outside world and is not indicative of a serious danger that requires emergency medical attention.

4. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

5. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

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