Nursing Elites

1. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

2. Men with even tiny amounts of dioxin in their bloodstream father __________.

• A. nearly twice as many girls as boys
• B. nearly three times as many boys as girls
• C. more twins and triplets than unaffected men
• D. fewer children than unaffected men

Correct answer: A

Rationale: Men with even tiny amounts of dioxin in their bloodstream father nearly twice as many girls as boys. This is due to the impact of dioxin exposure on sperm cells, leading to a skewed ratio of female to male offspring. Choice B is incorrect as the question specifically mentions that men father more girls than boys. Choice C is incorrect as dioxin exposure does not necessarily lead to more twins and triplets. Choice D is incorrect as men with dioxin in their bloodstream father more girls, not fewer children overall.

3. A childbirth leave of __________ predicts favorable maternal physical and mental health, supportive marital interaction, and sensitive caregiving.

• A. 6 weeks
• B. 8 weeks
• C. 10 weeks
• D. 12 weeks or more

Correct answer: D

Rationale: Research indicates that a childbirth leave of 12 weeks or more leads to favorable outcomes for maternal physical and mental health, supportive marital interaction, and sensitive caregiving. This extended period of leave allows mothers to recover physically, adjust psychologically, and establish strong bonds with their newborn, which ultimately benefits the whole family. Choices A, B, and C are incorrect as they do not provide the optimal duration needed for mothers to experience the full range of benefits associated with an extended childbirth leave.

4. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

5. 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.

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