Nursing Elites

1. In developing countries, the most readily available intervention for promoting the recovery of preterm babies is _________.

• A. hospitalization
• B. care in an isolette
• C. lying on a waterbed
• D. skin-to-skin 'kangaroo care'

Correct answer: D

Rationale: In developing countries, the most readily available intervention for promoting the recovery of preterm babies is skin-to-skin 'kangaroo care.' This involves direct skin-to-skin contact between the baby and a caregiver, typically the mother, which helps regulate the baby's body temperature, improve bonding, and support overall development. Kangaroo care can be easily implemented even in resource-limited settings and has been shown to have positive effects on preterm infants' health outcomes. Choices A, B, and C are incorrect because hospitalization, care in an isolette, and lying on a waterbed are not specifically tailored interventions that address the unique needs of preterm babies in developing countries like kangaroo care does.

2. Among all Western nations, which country has the highest percentage of extremely poor children?

• A. the United States
• B. Canada
• C. Germany
• D. France

Correct answer: A

Rationale: The correct answer is 'the United States.' According to the information provided, the United States has the highest percentage of extremely poor children among Western nations. This is supported by the extract, which states that the United States leads in this aspect. Choices B, C, and D are incorrect as the question specifically asks for the country with the highest percentage of extremely poor children among Western nations, which is the United States.

3. 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.

4. Vygotsky saw ______ play as the ideal social context for fostering cognitive development in early childhood.

• A. make-believe
• B. sensorimotor
• C. block
• D. parallel

Correct answer: A

Rationale: Vygotsky viewed make-believe play as the ideal social context for fostering cognitive development in early childhood. Make-believe play encourages children to explore various roles and scenarios, promoting cognitive and social development. Sensorimotor play focuses on physical interactions with the environment, while block play involves building and construction activities. Parallel play refers to children playing alongside each other without direct interaction, which is not the type of play Vygotsky emphasized for cognitive development.

5. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

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