Nursing Elites

1. Heaven was born several weeks before her due date. Although she was small, her birth weight was appropriate, based on time spent in the uterus. Heaven is a __________ infant.

• A. small-for-date
• B. small-for-weight
• C. mature
• D. preterm

Correct answer: D

Rationale: Heaven is a preterm infant because she was born early, but her weight is appropriate for the time she spent in the womb. Choice A, 'small-for-date,' is incorrect as it does not specifically indicate that the infant was born before the due date. Choice B, 'small-for-weight,' is incorrect because the infant's weight is appropriate for the gestational age. Choice C, 'mature,' is incorrect as it does not reflect the early birth of the infant.

2. What is the function of the corpus luteum?

• A. is where fertilization usually takes place
• B. secretes hormones that prepare the lining of the uterus to receive a fertilized ovum
• C. is one of two long, thin structures that lead to the hollow, softly lined uterus
• D. is one of two walnut-sized organs located deep inside a woman's abdomen

Correct answer: B

Rationale: The correct answer is B. The corpus luteum is a temporary endocrine structure in the ovary that forms after ovulation. It secretes hormones, particularly progesterone, which help prepare the uterine lining for possible implantation of a fertilized ovum. This process is crucial for maintaining a potential pregnancy. Choices A, C, and D are incorrect. Choice A is inaccurate as fertilization typically occurs in the fallopian tubes. Choice C describes the fallopian tubes, not the corpus luteum. Choice D refers to the ovaries, not specifically the corpus luteum.

3. Prenatally malnourished babies frequently __________.

• A. reject breast milk
• B. have enlarged hearts
• C. catch respiratory illnesses
• D. have a higher-than-average birth weight

Correct answer: C

Rationale: Prenatally malnourished babies frequently catch respiratory illnesses. Malnourished babies have weakened immune systems, making them more susceptible to illnesses such as respiratory infections. This is a common consequence that is observed in babies who did not receive adequate nutrition during the prenatal period. Choices A, B, and D are incorrect. While malnourished babies may have feeding challenges, rejecting breast milk is not a common consequence. Enlarged hearts are not typically associated with prenatal malnutrition, and having a higher-than-average birth weight is unlikely in malnourished babies.

4. One criticism of Freud's psychosexual theory was that it __________.

• A. did not apply to other cultures
• B. underemphasized the influence of sexual feelings
• C. compared human development to the evolution of the human species
• D. offered too narrow a view of important environmental influences

Correct answer: A

Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.

5. __________, 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.

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