Nursing Elites

1. A childbirth leave of __________ predicts favorable maternal physical and mental health, supportive marital interaction, and sensitive caregiving.

• A. 6 weeks
• B. 8 weeks
• C. 10 weeks
• D. 12 weeks or more

Correct answer: D

Rationale: Research indicates that a childbirth leave of 12 weeks or more leads to favorable outcomes for maternal physical and mental health, supportive marital interaction, and sensitive caregiving. This extended period of leave allows mothers to recover physically, adjust psychologically, and establish strong bonds with their newborn, which ultimately benefits the whole family. Choices A, B, and C are incorrect as they do not provide the optimal duration needed for mothers to experience the full range of benefits associated with an extended childbirth leave.

2. Mothers who __________ have fewer birth complications and shorter labors.

• A. choose cesarean delivery
• B. give birth at home
• C. are supported by a trained companion during childbirth
• D. are administered epidural analgesia during childbirth

Correct answer: C

Rationale: According to research, mothers who are supported by a trained companion during childbirth have fewer birth complications and shorter labors. This support can reduce stress and anxiety levels, provide comfort and encouragement, and help the mother feel more in control during labor and delivery. Overall, having a trained companion present can contribute to a more positive childbirth experience for the mother. Choices A, B, and D are incorrect because they do not align with the research findings that specifically highlight the benefits of having a trained companion during childbirth.

3. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

4. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

5. Which research method is an outgrowth of psychoanalytic theory?

• A. naturalistic observation
• B. structured observation
• C. ethnography
• D. the clinical method

Correct answer: D

Rationale: The clinical method is an outgrowth of psychoanalytic theory. This method involves in-depth, one-on-one interviews or therapy sessions to explore an individual's unconscious thoughts and emotions. It aims to gain insight into the underlying causes of behavior and psychological issues, aligning with the foundational principles of psychoanalytic theory developed by Sigmund Freud. Choices A, B, and C are not directly associated with psychoanalytic theory. Naturalistic observation, structured observation, and ethnography focus on observing behavior in natural settings, systematic observation in controlled environments, and studying cultures and societies, respectively, which are not specific to the psychoanalytic approach.

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