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. Swaddling newborns __________.

• A. increases crying
• B. hinders early motor development
• C. promotes an insecure attachment relationship
• D. restricts movement and increases warmth

Correct answer: D

Rationale: Swaddling newborns restricts their movement by wrapping them snugly in a blanket, which helps to mimic the feeling of security they had in the womb. It also helps to maintain their warmth and can promote better sleep patterns. Choices A, B, and C are incorrect because swaddling does not increase crying, hinder early motor development, or promote an insecure attachment relationship. Instead, it provides comfort, warmth, and a sense of security for newborns.

3. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

4. To avoid exposure to toxoplasmosis, Kaye should ask other family members to __________.

• A. stop smoking
• B. pick up after the dog
• C. change the litter box
• D. feed the fish

Correct answer: C

Rationale: To avoid exposure to toxoplasmosis, Kaye should ask other family members to change the litter box. Toxoplasmosis is a parasitic infection that can be transmitted through cat feces, so it is important for pregnant women to avoid handling cat litter to reduce the risk of infection. Choices A, B, and D are incorrect because they are not directly related to preventing toxoplasmosis. Smoking cessation is important for overall health but not specifically to prevent toxoplasmosis. Picking up after the dog and feeding the fish are not relevant to preventing toxoplasmosis, as the infection is primarily associated with cat feces.

5. 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.

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