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. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

3. The term teratogen refers to __________.

• A. any environmental agent that causes damage during the prenatal period
• B. a limited time span during which a part of the body is biologically prepared to develop rapidly
• C. a rapid period of prenatal neurological development
• D. a synthetic hormone used to prevent miscarriage

Correct answer: A

Rationale: The correct answer is A: 'any environmental agent that causes damage during the prenatal period.' A teratogen is any substance or factor that can cause harm to the developing fetus during pregnancy. Choice B is incorrect because it describes a critical period, not a teratogen. Choice C is incorrect as it refers to a specific period of development, not a teratogen. Choice D is incorrect because it describes a synthetic hormone, not a teratogen.

4. Tammy's father is an exceptional gymnast. When Tammy was just a toddler, her father believed that Tammy already showed great promise as a gymnast. Tammy's father probably believes that athletic ability is mostly determined by __________.

• A. nurture
• B. stages
• C. nature
• D. early experiences

Correct answer: C

Rationale: Tammy's father likely believes that athletic ability is mostly determined by nature because he believes she showed great promise at a young age, indicating a natural talent or genetic predisposition towards gymnastics. This suggests that he attributes Tammy's abilities to her inherent qualities rather than her upbringing or experiences (nurture). While stages and early experiences can play a role in skill development, in this context, the emphasis is on innate abilities, making 'nature' the most suitable choice.

5. The third stage of labor lasts about __________.

• A. 5 to 10 minutes
• B. 20 to 50 minutes
• C. 4 to 6 hours
• D. 12 to 14 hours

Correct answer: A

Rationale: The correct answer is A: 5 to 10 minutes. The third stage of labor typically lasts about 5 to 10 minutes. This stage begins after the baby is born and ends when the placenta is delivered. It is the shortest stage of labor compared to the first and second stages. Choice B, 20 to 50 minutes, is incorrect as it is too long for the duration of the third stage. Choice C, 4 to 6 hours, and Choice D, 12 to 14 hours, are also incorrect as they are significantly longer than the actual duration of the third stage of labor.

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