Nursing Elites

1. A 20-week-old fetus can __________.

• A. be stimulated as well as irritated by sounds
• B. survive, if born early
• C. breathe without oxygen assistance, if born early
• D. control its own body temperature Answer: A Page Ref: 80 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: A 20-week-old fetus is able to be stimulated as well as irritated by sounds because by this stage of prenatal development, the fetus's auditory system is already well-developed. It can respond to external sounds and may even startle or move in reaction to loud noises.

2. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

3. Among preschoolers, __________ contributes to gains in emotional self-regulation.

• A. permissive child rearing
• B. authoritarian child rearing
• C. language
• D. family size

Correct answer: C

Rationale: Corrected Rationale: Language development plays a crucial role in emotional self-regulation in preschoolers. It enables children to express and manage their emotions effectively. Choices A and B, permissive and authoritarian child rearing styles, focus more on the parenting approach rather than the child's intrinsic development. Family size, as mentioned in choice D, does not directly contribute to gains in emotional self-regulation.

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. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

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