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. During the period of the embryo, the __________ becomes the __________.

• A. mesoderm; nervous system, lungs, internal organs, and skin
• B. chorion; endocrine system, muscles, placenta, and skeleton
• C. ectoderm; circulatory system, skin, skeleton, and internal organs
• D. endoderm; digestive system, lungs, urinary tract, and glands Answer: D Page Ref: 78 Skill Level: Remember Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: D

Rationale: During the period of the embryo, the endoderm becomes the digestive system, lungs, urinary tract, and glands. The endoderm is one of the primary germ layers that give rise to various internal organs in the developing embryo. It plays a crucial role in the formation of organs such as the digestive system, respiratory system, and glandular structures.

3. Theorists who emphasize plasticity believe that __________.

• A. change in response to influential experiences is possible
• B. heredity, rather than the environment, influences behavior
• C. individuals who are high in anxiety as children will remain so at later ages
• D. early experiences establish a lifelong pattern of behavior

Correct answer: A

Rationale: Theorists who emphasize plasticity believe that change in response to influential experiences is possible. They argue that individuals have the capacity to adapt and change their behavior based on their experiences, rather than being limited by genetic predispositions or early childhood experiences. This perspective highlights the importance of environmental influences in shaping behavior and development. Choices B, C, and D are incorrect because they do not align with the concept of plasticity, which emphasizes the flexibility and adaptability of individuals in response to their experiences, rather than being fixed by heredity, childhood traits, or early experiences.

4. What is strongly associated with healthy eating in teenagers?

• A. Vitamin supplementation
• B. Number of hours of sleep
• C. Dieting in adolescence
• D. Frequency of family meals

Correct answer: D

Rationale: The frequency of family meals is strongly associated with healthy eating in teenagers. Research indicates that regular family meals provide structure, promote positive eating behaviors, and offer opportunities for modeling healthy food choices. Vitamin supplementation (Choice A) may be beneficial but is not as strongly linked to healthy eating habits as family meal frequency. The number of hours of sleep (Choice B) is important for overall health but is not as directly associated with healthy eating behaviors in teenagers. Dieting in adolescence (Choice C) can sometimes lead to unhealthy eating patterns and is not necessarily linked to consistently healthy food choices.

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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