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. 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.

3. According to Piaget, in which stage of cognitive development is four-year-old R’Monte who engages in make-believe play by stirring beads in a bowl and saying, “Soup is ready!”?

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. sociocultural

Correct answer: B

Rationale: According to Piaget's theory of cognitive development, four-year-old R’Monte's engagement in make-believe play, such as pretending to stir beads in a bowl and creating imaginary soup, indicates that he is in the preoperational stage of cognitive development. This stage is characterized by symbolic thinking, pretend play, language development, and egocentrism. Choice A, sensorimotor, is incorrect as this stage occurs in infancy and focuses on sensory experiences and object permanence. Choice C, concrete operational, is incorrect as this stage occurs around ages 7-11 and involves logical reasoning about concrete events. Choice D, sociocultural, is incorrect as it does not correspond to Piaget's stages of cognitive development.

4. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

5. In females, the twenty-third pair of chromosomes is labeled as __________.

• A. an autosome
• B. dizygotic
• C. XX
• D. XY

Correct answer: C

Rationale: In females, the twenty-third pair of chromosomes is indeed labeled as XX. This pair of chromosomes determines the biological sex of females. Choice A, 'an autosome,' is incorrect as autosomes refer to the non-sex chromosomes. Choice B, 'dizygotic,' is incorrect as it relates to twins. Choice D, 'XY,' is incorrect as it represents the chromosome pair found in males.

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