Nursing Elites

1. What is largely responsible for the worldwide rise in cesarean deliveries?

• A. Use of natural or prepared childbirth
• B. Use of a doula
• C. Medical control over childbirth
• D. Apgar testing

Correct answer: C

Rationale: Medical control over childbirth is largely responsible for the worldwide rise in cesarean deliveries. Cesarean deliveries are often performed due to various medical interventions such as monitoring the progress of labor, fetal distress, and other complications that may arise during childbirth. The increasing use of medical interventions and technology has contributed to the higher rate of cesarean deliveries globally. Choices A, B, and D are incorrect because they do not directly involve the decision-making and interventions typically carried out by medical professionals during childbirth, which are major factors leading to the rise in cesarean deliveries.

2. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

3. What is a characteristic of structured interviews?

• A. Do not yield the same depth of information as a clinical interview
• B. Are flexible because questions are phrased differently for each participant
• C. Bring together a wide range of information on one person
• D. Tell researchers little about the reasoning behind participants' responses

Correct answer: A

Rationale: The correct answer is A. Structured interviews do not yield the same depth of information as a clinical interview because they involve a set of standardized questions that are asked in the same way to all participants. This lack of flexibility may limit the depth and richness of the responses obtained compared to a more open-ended clinical interview. Choices B, C, and D are incorrect because structured interviews are not flexible in question phrasing, do not necessarily bring together a wide range of information on one person, and can provide insights into participants' reasoning behind responses depending on the design of the structured questions.

4. Which mother is most likely to have had inadequate prenatal care?

• A. Lupe, age 25
• B. Marissa, age 32
• C. Rotunda, age 16
• D. Janette, age 40

Correct answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

5. 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.

Similar Questions