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. What did John Bowlby believe?

• A. Adults and more expert peers help children master culturally meaningful activities.
• B. The infant-caregiver bond has lifelong consequences for human relationships.
• C. Parents and infants are both instinctively attached to each other.
• D. Attachment patterns are difficult to study in humans.

Correct answer: B

Rationale: John Bowlby believed that the infant-caregiver bond has lifelong consequences for human relationships. This is supported by his theory of attachment, where he emphasized the importance of early attachment experiences in shaping individuals' future relationships. Choice A is incorrect as it does not reflect Bowlby's main focus on attachment theory. Choice C is incorrect as Bowlby's theory suggests that attachment is more than just instinctual. Choice D is also incorrect as Bowlby's work actually paved the way for the study of attachment patterns in humans.

3. Critics worry that fetal monitoring __________.

• A. numbs the entire lower half of the body, making it difficult to feel contractions
• B. is not helpful in detecting hidden problems with the baby
• C. identifies babies as in danger who, in fact, are not
• D. increases the likelihood of infant brain damage

Correct answer: C

Rationale: Critics worry that fetal monitoring may identify babies as in danger who, in fact, are not. This can lead to unnecessary interventions and stress for the parents. It is important to carefully consider the accuracy and benefits of fetal monitoring to avoid unnecessary harm to both the mother and the baby. Choice A is incorrect because fetal monitoring does not cause numbness in the lower half of the body. Choice B is incorrect as fetal monitoring is helpful in detecting hidden problems with the baby. Choice D is incorrect as there is no direct link between fetal monitoring and an increased likelihood of infant brain damage.

4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

5. If learning has occurred in classical conditioning, and the neutral stimulus by itself produces a response similar to the reflexive response, the neutral stimulus is then called a __________.

• A. neutral response
• B. conditioned stimulus
• C. conditioned response
• D. reinforcer

Correct answer: B

Rationale: In classical conditioning, when a neutral stimulus triggers the reflexive response, it becomes a conditioned stimulus. Therefore, the correct term for the neutral stimulus that now elicits a response is a conditioned stimulus. Choices A, C, and D are incorrect: A neutral response is not a standard term in classical conditioning; a conditioned response is the learned response to the conditioned stimulus, not the neutral stimulus itself; a reinforcer is a stimulus that follows a behavior and increases the likelihood of that behavior happening again, which is not the same as a conditioned stimulus.

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