Nursing Elites

1. Jalynn is in the last half of the first month of her pregnancy. Which of the following is developing the fastest?

• A. circulatory system
• B. endocrine system
• C. nervous system
• D. skin

Correct answer: C

Rationale: During the last half of the first month of pregnancy, the nervous system develops the fastest among the options provided. This rapid development of the nervous system is crucial for the overall growth and functioning of the fetus. The nervous system includes the brain and spinal cord, which are essential for various bodily functions and will continue to develop throughout the pregnancy. The circulatory system, although important, does not develop at the fastest rate during this stage. The endocrine system and skin also play significant roles in the development of the fetus but are not the systems that develop the fastest in the last half of the first month of pregnancy.

2. The mother feels a natural urge to squeeze and push with her abdominal muscles during which stage of labor?

• A. first
• B. second
• C. third
• D. fourth

Correct answer: B

Rationale: The mother feels a natural urge to squeeze and push with her abdominal muscles during the second stage of labor. This stage occurs after the cervix is fully dilated and ends with the delivery of the baby. Choice A (first) is incorrect as the first stage is mainly characterized by the dilation of the cervix. Choice C (third) is incorrect as the third stage is the delivery of the placenta, and choice D (fourth) is incorrect as the fourth stage is the recovery period after childbirth.

3. Before the late 1800s, childbirth usually took place __________.

• A. at home and was a family-centered event
• B. at home, but away from other family members
• C. in a hospital with trained midwives
• D. in the home of a medical professional or in a hospital

Correct answer: A

Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.

4. What is largely responsible for the worldwide rise in cesarean deliveries?

• A. Use of natural or prepared childbirth
• B. Use of a doula
• C. Medical control over childbirth
• D. Apgar testing

Correct answer: C

Rationale: Medical control over childbirth is largely responsible for the worldwide rise in cesarean deliveries. Cesarean deliveries are often performed due to various medical interventions such as monitoring the progress of labor, fetal distress, and other complications that may arise during childbirth. The increasing use of medical interventions and technology has contributed to the higher rate of cesarean deliveries globally. Choices A, B, and D are incorrect because they do not directly involve the decision-making and interventions typically carried out by medical professionals during childbirth, which are major factors leading to the rise in cesarean deliveries.

5. Basic emotions __________.

• A. appear in the middle of the second year
• B. are universal in humans
• C. are found only among humans
• D. involve injury to our sense of self

Correct answer: B

Rationale: Basic emotions like happiness, sadness, and anger are universal across humans, meaning they are experienced by people worldwide regardless of cultural differences. These emotions are not limited to a specific group of individuals or exclusive to humans; they are observed in various species. Choice A is incorrect because basic emotions actually appear early in life, not specifically in the middle of the second year. Choice C is incorrect as basic emotions are not exclusive to humans but are observed in other animals as well. Choice D is incorrect because basic emotions do not necessarily involve injury to our sense of self, but rather represent fundamental and instinctual feelings that are part of human nature.

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