Nursing Elites

1. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

2. Fetal monitoring is __________.

• A. rarely used in U.S. hospitals
• B. linked with low birth weight
• C. linked with a decreased rate of cesarean deliveries
• D. required in most U.S. hospitals

Correct answer: D

Rationale: Fetal monitoring is required in most U.S. hospitals during labor and delivery to track the baby's heart rate and the mother's contractions. This helps healthcare providers to assess the well-being of the fetus and make timely decisions regarding the need for interventions if any complications arise. Choices A, B, and C are incorrect because fetal monitoring is a standard procedure in most hospitals to ensure the safety and health of both the mother and the baby during labor.

3. Which statement describes a limitation of the clinical method?

• A. It may not yield observations typical of participants’ behavior in everyday life.
• B. Researchers cannot control conditions under which participants are observed.
• C. The findings cannot be applied to individuals other than the participant.
• D. It does not usually yield rich, descriptive insights into factors that affect development. Answer: C Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate

Correct answer: C

Rationale: The statement that describes a limitation of the clinical method is that the findings cannot be applied to individuals other than the participant. The clinical method typically involves in-depth studies of individual participants, which may limit generalizability to a broader population. This means that the findings from a clinical study may not be applicable to other individuals who are not directly involved in the study.

4. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

5. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

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