Nursing Elites

1. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

2. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

3. Why do young infants usually cry?

• A. because they are bored
• B. in shrill, piercing tones
• C. because of physical needs
• D. all night long

Correct answer: C

Rationale: Young infants usually cry because of physical needs such as hunger, discomfort, or needing to be changed. It is their way of communicating these needs to their caregivers as they are unable to do so in any other way. Choice A is incorrect because infants cry primarily to communicate physical needs, not because they are bored. Choice B is incorrect because the tone of the cry is not the reason why infants cry. Choice D is incorrect because infants cry for various physical needs, not necessarily all night long.

4. Lanugo ________.

• A. permits food and oxygen to reach the organism
• B. provides the fetus a cushion against jolts caused by the mother's movements
• C. helps regulate the fetus's body temperature
• D. helps the vernix stick to the skin

Correct answer: D

Rationale: Lanugo helps the vernix stick to the skin. Vernix is a waxy substance that covers the fetus's skin during pregnancy. Lanugo is a fine, downy hair that helps to anchor the vernix to the skin, providing protection and nourishment to the developing fetus. Choices A, B, and C are incorrect as they do not accurately describe the role of lanugo in prenatal development.

5. 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.

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