Nursing Elites

1. 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.

2. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

3. Which of the following best describes a sequential design?

• A. Does not address diversity in developmental outcomes.
• B. Permits researchers to check if cohort effects are operating.
• C. Is less efficient than a longitudinal design.
• D. Makes cross-sectional, but not longitudinal, comparisons.

Correct answer: B

Rationale: A sequential design permits researchers to check if cohort effects are operating. This design involves combining cross-sectional and longitudinal research, allowing for the comparison of different cohorts at different ages. By using this approach, researchers can determine if developmental changes observed are due to age or generation-specific factors. Therefore, a sequential design is valuable in addressing the potential influence of cohort effects on developmental outcomes. Choices A, C, and D are incorrect because a sequential design does not neglect diversity in developmental outcomes, is not necessarily less efficient than a longitudinal design, and can make both cross-sectional and longitudinal comparisons.

4. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

5. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

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