Nursing Elites

1. 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.

2. 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.

3. Children in middle childhood are in Piaget's _______ stage, which extends from about 7 to 11 years.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: C

Rationale: The correct answer is C: concrete operational. During the concrete operational stage, children start to engage in logical thinking about concrete events. This stage typically occurs between the ages of 7 to 11 years. Choices A, B, and D are incorrect. The sensorimotor stage (choice A) is the first stage in Piaget's theory, occurring from birth to about 2 years old. The preoperational stage (choice B) follows the sensorimotor stage and occurs roughly from ages 2 to 7 years. The formal operational stage (choice D) is the final stage in Piaget's theory, where abstract thinking and hypothetical reasoning develop, usually beginning around age 11.

4. Who is generally regarded as the founder of the child study movement?

• A. Arnold Gesell was among the first to write child-rearing books for parents
• B. Arnold Gesell is generally regarded as the founder of the child study movement
• C. Arnold Gesell foreshadowed lifespan research by writing a book on aging
• D. Arnold Gesell constructed the first successful intelligence test

Correct answer: B

Rationale: Arnold Gesell is generally regarded as the founder of the child study movement, emphasizing the importance of observing and documenting children's behaviors to understand their development. While he was a significant figure in child development research, he did not specifically write child-rearing books for parents, foreshadow lifespan research, or construct the first successful intelligence test. Choice A is incorrect as Gesell's focus was more on research rather than writing child-rearing books. Choice C is incorrect as Gesell's main contributions were in child development, not specifically in aging research. Choice D is incorrect as Gesell is not credited with constructing the first successful intelligence test.

5. A baby born between the seventh and eighth months of pregnancy __________.

• A. is just as healthy as a full-term baby
• B. usually needs oxygen assistance to breathe
• C. only has about a 10 percent survival rate
• D. is considered small-for-date

Correct answer: B

Rationale: A baby born between the seventh and eighth months of pregnancy is considered premature. Premature babies are born before they are fully developed and may need assistance with breathing, including oxygen. They are at a higher risk for complications compared to full-term babies. Choice A is incorrect because premature babies are at a higher risk for health issues compared to full-term babies. Choice C is incorrect as modern medical advancements have significantly increased the survival rate of premature babies. Choice D is incorrect as being small-for-date does not solely depend on the gestational age at birth.

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