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. Professor Higgins is concerned about the findings of a longitudinal study on childhood depression that she conducted between 1985 and 2015 in New York because many of the participants witnessed the terrorist attacks on the World Trade Center. Professor Higgins is concerned about __________ effects.

• A. practice
• B. cross-sectional
• C. dropout
• D. cohort

Correct answer: D

Rationale: The concern Professor Higgins has regarding the findings of the longitudinal study is related to cohort effects. Cohort effects occur when a specific group of individuals experience a common event or circumstance that could influence the results of a study. In this case, the participants witnessing the terrorist attacks on the World Trade Center could have had a significant impact on their development and mental health outcomes, leading to cohort effects observed in the study. Choice A, 'practice,' is incorrect as it refers to the repeated performance of an activity to improve skill. Choice B, 'cross-sectional,' is incorrect as it involves data collection at a single point in time. Choice C, 'dropout,' is incorrect as it refers to participants leaving a study prematurely.

3. The more a mental ability depends on __________ intelligence, the earlier it starts to decline.

• A. fluid
• B. crystallized
• C. emotional
• D. cultural

Correct answer: A

Rationale: The correct answer is A: fluid. Fluid intelligence, which involves problem-solving and reasoning, tends to decline earlier than crystallized intelligence. Crystallized intelligence, on the other hand, involves knowledge and skills acquired over time and is more stable with age. Emotional intelligence and cultural intelligence are not directly related to the decline of mental abilities mentioned in the question, making them incorrect choices.

4. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

5. 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.

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