Nursing Elites

1. Which state of arousal is considered the most fleeting?

• A. Regular sleep
• B. REM sleep
• C. Drowsiness
• D. Quiet alertness

Correct answer: D

Rationale: Quiet alertness is indeed the most fleeting state of arousal. This state is characterized by a newborn infant being awake, calm, and attentive, but it is short-lived and transitions quickly to other states of arousal. Regular sleep, REM sleep, and drowsiness are not considered as brief and transitional as quiet alertness in newborn infants.

2. During pregnancy, the placenta __________.

• A. forms in the second trimester of pregnancy
• B. encloses the developing organism in amniotic fluid
• C. contains one large vein that delivers nutrients to the embryo
• D. delivers food and oxygen to the developing organism

Correct answer: D

Rationale: The placenta delivers food and oxygen to the developing organism during pregnancy. It is a temporary organ that forms in the first trimester of pregnancy. Choice A is incorrect as the placenta forms in the first trimester, not the second trimester. Choice B is incorrect as the amniotic sac, not the placenta, encloses the developing organism in amniotic fluid. Choice C is incorrect as the placenta contains blood vessels (arteries and veins) that deliver nutrients to the embryo, not just one large vein.

3. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

4. Which mother is most likely to have had inadequate prenatal care?

• A. Lupe, age 25
• B. Marissa, age 32
• C. Rotunda, age 16
• D. Janette, age 40

Correct answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

5. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

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