Nursing Elites

1. Which statement about the newborn baby's appearance is true?

• A. Girls tend to be slightly longer and heavier than boys.
• B. Their round faces and big eyes make adults feel like picking them up.
• C. The trunk is large in comparison to the head, and the legs are straight.
• D. On average, they are 18 inches long and 5½ pounds in weight.

Correct answer: C

Rationale: The correct statement about the newborn baby's appearance is that the trunk is large in comparison to the head, and the legs are straight. This is a common characteristic of newborn babies as their proportions are different from adults. Choice A is incorrect as there is no consistent trend of girls being longer and heavier than boys at birth. Choice B is incorrect as the perception of adults wanting to pick up babies is subjective and not a universal truth. Choice D is incorrect as the average length and weight provided may not apply to all newborn babies, as there can be variations.

2. In the last weeks of pregnancy, __________.

• A. the fetus usually loses weight
• B. most fetuses assume an upside-down position
• C. fetal growth increases dramatically
• D. the fetus relies on its own well-developed immune system

Correct answer: B

Rationale: In the last weeks of pregnancy, most fetuses assume an upside-down position known as the head-down position or vertex presentation. This position is ideal for a smoother labor and delivery process as it helps the baby move through the birth canal. Fetal growth has already slowed down at this stage, so option C is incorrect. Option A is inaccurate as the fetus typically gains weight in the final weeks. Option D is incorrect because the fetus relies on the mother's immune system while in the womb.

3. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

4. Jade spent two years in a Mexican-American community studying communication between parents and children. Jade was using __________.

• A. naturalistic observation
• B. ethnography
• C. self-reports
• D. structured observation

Correct answer: B

Rationale: Jade was using ethnography. Ethnography involves the systematic study of people and cultures through participant observation and interviews. In this case, Jade spent two years in a Mexican-American community studying communication between parents and children, which aligns with the methodology of ethnography. Ethnography allows researchers to gain an in-depth understanding of a particular cultural group's behaviors, practices, and beliefs. Choice A, naturalistic observation, involves observing subjects in their natural environment without interference or manipulation. While similar to ethnography in some aspects, naturalistic observation does not typically involve the same level of cultural immersion and participant interaction as ethnography. Choice C, self-reports, refers to data collected directly from participants about their thoughts, feelings, or behaviors. This method relies on participants' subjective responses and may not provide the same depth of cultural insights as ethnography. Choice D, structured observation, involves observing behavior in a structured and controlled environment. Unlike ethnography, structured observation does not focus on the cultural nuances and immersive study of a specific community.

5. To avoid exposure to toxoplasmosis, Kaye should ask other family members to __________.

• A. stop smoking
• B. pick up after the dog
• C. change the litter box
• D. feed the fish

Correct answer: C

Rationale: To avoid exposure to toxoplasmosis, Kaye should ask other family members to change the litter box. Toxoplasmosis is a parasitic infection that can be transmitted through cat feces, so it is important for pregnant women to avoid handling cat litter to reduce the risk of infection. Choices A, B, and D are incorrect because they are not directly related to preventing toxoplasmosis. Smoking cessation is important for overall health but not specifically to prevent toxoplasmosis. Picking up after the dog and feeding the fish are not relevant to preventing toxoplasmosis, as the infection is primarily associated with cat feces.

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