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. The discontinuous view of development holds that __________.

• A. infants and preschoolers respond to the world in much the same way as adults do
• B. growth is the process of gradually augmenting the skills that were present from the beginning
• C. infants and children have unique ways of thinking, feeling, and behaving
• D. development is a smooth process limited only by a lack of information and precision

Correct answer: C

Rationale: The discontinuous view of development holds that infants and children have unique ways of thinking, feeling, and behaving. This perspective suggests that development is not a continuous or smooth process, but rather occurs in distinct stages or phases marked by qualitative differences in abilities and behaviors. This contrasts with the idea that development is a gradual augmentation of skills present from the beginning (choice B) or that infants and preschoolers respond to the world in the same way as adults (choice A). Choice D is incorrect because the discontinuous view does not consider development as a smooth process limited by a lack of information and precision. Ultimately, the discontinuous view emphasizes the distinct and evolving nature of development across the lifespan.

3. Critics worry that fetal monitoring __________.

• A. numbs the entire lower half of the body, making it difficult to feel contractions
• B. is not helpful in detecting hidden problems with the baby
• C. identifies babies as in danger who, in fact, are not
• D. increases the likelihood of infant brain damage

Correct answer: C

Rationale: Critics worry that fetal monitoring may identify babies as in danger who, in fact, are not. This can lead to unnecessary interventions and stress for the parents. It is important to carefully consider the accuracy and benefits of fetal monitoring to avoid unnecessary harm to both the mother and the baby. Choice A is incorrect because fetal monitoring does not cause numbness in the lower half of the body. Choice B is incorrect as fetal monitoring is helpful in detecting hidden problems with the baby. Choice D is incorrect as there is no direct link between fetal monitoring and an increased likelihood of infant brain damage.

4. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

5. According to the continuous view of development, the difference between the immature and the mature is simply one of amount or complexity.

• A. nature
• B. discontinuous
• C. nurture
• D. continuous

Correct answer: D

Rationale: The correct answer is D. According to the continuous view of development, the difference between the immature and the mature is seen as simply one of amount or complexity. This view suggests that development is a gradual and continuous process where individuals steadily acquire new abilities without abrupt changes or stages. Choices A, B, and C are incorrect because nature, discontinuous, and nurture do not align with the description provided in the question. Nature typically refers to genetic or biological factors, discontinuous implies stages or abrupt changes, and nurture relates to environmental influences, none of which are synonymous with the continuous view of development.

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