Nursing Elites

1. In an investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early __________ than children who experienced a full-length prenatal period.

• A. showed lower reading and math scores at a third-grade follow-up
• B. were less likely to suffer from childhood obesity
• C. were less likely to suffer from neurological impairments
• D. showed higher language and social/emotional scores in early childhood

Correct answer: A

Rationale: In the investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early showed lower reading and math scores at a third-grade follow-up compared to children who experienced a full-length prenatal period. This suggests that being born slightly premature can have an impact on cognitive development, leading to educational challenges later on. Choices B, C, and D are incorrect because the study specifically highlighted lower reading and math scores, not a reduced likelihood of suffering from childhood obesity or neurological impairments, or improved language and social/emotional scores in early childhood.

2. Which statement about the Nurse-Family Partnership is true?

• A. It is an international program to reduce the risk of teratogens.
• B. One of its goals is to promote competent early caregiving.
• C. It is a series of childbirth classes offered at many U.S. hospitals.
• D. It provides family planning and genetic counseling to couples.

Correct answer: B

Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.

3. Mothers who __________ have fewer birth complications and shorter labors.

• A. choose cesarean delivery
• B. give birth at home
• C. are supported by a trained companion during childbirth
• D. are administered epidural analgesia during childbirth

Correct answer: C

Rationale: According to research, mothers who are supported by a trained companion during childbirth have fewer birth complications and shorter labors. This support can reduce stress and anxiety levels, provide comfort and encouragement, and help the mother feel more in control during labor and delivery. Overall, having a trained companion present can contribute to a more positive childbirth experience for the mother. Choices A, B, and D are incorrect because they do not align with the research findings that specifically highlight the benefits of having a trained companion during childbirth.

4. 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.

5. According to Erikson, the danger in middle childhood is __________, reflected in the pessimism of children who lack confidence in their ability to do things well.

• A. shame
• B. mistrust
• C. inferiority
• D. despair

Correct answer: C

Rationale: According to Erikson's psychosocial theory, the danger in middle childhood is 'inferiority.' During this stage, children may develop a sense of inadequacy and inferiority if they are unable to master the social and academic tasks expected of them. This feeling of inferiority can lead to low self-esteem and pessimism about their abilities. Choice A, 'shame,' is more closely associated with Erikson's stage of autonomy vs. shame and doubt in early childhood. Choice B, 'mistrust,' is linked to Erikson's stage of trust vs. mistrust in infancy. Choice D, 'despair,' is related to Erikson's stage of integrity vs. despair in late adulthood.

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