Nursing Elites

1. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

2. When Mateo was born prematurely to Yvonne, a cocaine addict, what can his caregivers expect?

• A. He will be very attentive to the environment
• B. His cries will be abnormally shrill and piercing
• C. He will overcome the harmful effects of drug exposure by age 3
• D. His motor development will be especially rapid during the first year

Correct answer: B

Rationale: Mateo, being born prematurely to a cocaine-addicted mother, is at risk for several health issues. One common effect of prenatal drug exposure is a higher likelihood of sensory and regulatory problems, such as having abnormally shrill and piercing cries. This is a potential outcome that Mateo's caregivers can expect due to his circumstances. Choice A is incorrect as there is no direct correlation between being born prematurely to a cocaine-addicted mother and being very attentive to the environment. Choice C is incorrect as overcoming harmful effects of drug exposure by age 3 is overly optimistic and may not be the case for all children exposed to drugs prenatally. Choice D is incorrect as rapid motor development is not typically associated with prenatal drug exposure.

3. One criticism of Freud's psychosexual theory was that it __________.

• A. did not apply to other cultures
• B. underemphasized the influence of sexual feelings
• C. compared human development to the evolution of the human species
• D. offered too narrow a view of important environmental influences

Correct answer: A

Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.

4. 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.

5. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

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