Nursing Elites

1. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

2. According to Jean Piaget's cognitive-developmental theory, __________?

• A. children actively construct knowledge as they manipulate and explore their world
• B. children's learning depends on reinforcers, such as rewards from adults
• C. adult teaching is the best way to foster development
• D. rapid development occurs during sensitive periods

Correct answer: A

Rationale: According to Jean Piaget's cognitive-developmental theory, children actively construct knowledge as they manipulate and explore their world. Piaget emphasized that children learn through their own actions and interactions with the environment, leading to cognitive development. Choice B is incorrect because Piaget's theory focuses on children's active engagement in learning rather than passive reinforcement. Choice C is incorrect because Piaget's theory highlights the child's role in constructing knowledge, not solely relying on adult teaching. Choice D is incorrect as it refers to sensitive periods, a concept more associated with other developmental theories like Erikson's psychosocial theory, not Piaget's cognitive-developmental theory.

3. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

4. Recent evidence suggests that paternal alcohol use around the time of conception __________.

• A. can alter gene expression
• B. can cause fetal alcohol syndrome
• C. is linked to blood vessel abnormalities
• D. has no negative effect on the developing organism

Correct answer: A

Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.

5. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

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