Nursing Elites

1. 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.

2. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

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. The discontinuous view of development holds that __________.

• A. infants and preschoolers respond to the world in much the same way as adults do
• B. growth is the process of gradually augmenting the skills that were present from the beginning
• C. infants and children have unique ways of thinking, feeling, and behaving
• D. development is a smooth process limited only by a lack of information and precision

Correct answer: C

Rationale: The discontinuous view of development holds that infants and children have unique ways of thinking, feeling, and behaving. This perspective suggests that development is not a continuous or smooth process, but rather occurs in distinct stages or phases marked by qualitative differences in abilities and behaviors. This contrasts with the idea that development is a gradual augmentation of skills present from the beginning (choice B) or that infants and preschoolers respond to the world in the same way as adults (choice A). Choice D is incorrect because the discontinuous view does not consider development as a smooth process limited by a lack of information and precision. Ultimately, the discontinuous view emphasizes the distinct and evolving nature of development across the lifespan.

5. __________ love is strong at the beginning of a relationship.

• A. Compassionate
• B. Affectionate
• C. Passionate
• D. Companionate

Correct answer: C

Rationale: Passionate love is characterized by intense emotions and physical attraction, which are common in the early stages of relationships. Compassionate love involves deep affection, but it develops over time based on mutual respect, trust, and intimacy. Affectionate love is warm and tender, but it may not necessarily have the intense emotions associated with passionate love. Companionate love is based on friendship, respect, and affection, but it may lack the intense emotions and physical attraction that characterize passionate love.

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