Nursing Elites

1. Charles Darwin's theory of evolution emphasized __________ and __________.

• A. the normative approach; survival of the fittest
• B. noble savages; physical maturation
• C. tabula rasa; natural selection
• D. natural selection; survival of the fittest

Correct answer: D

Rationale: Charles Darwin's theory of evolution emphasized natural selection and survival of the fittest. Natural selection is the process by which organisms with traits that help them survive and reproduce in their environment are more likely to pass on these traits to their offspring. Survival of the fittest refers to the idea that the organisms best adapted to their environment are more likely to survive and reproduce, leading to the gradual evolution of species over time. Both concepts are central to Darwin's theory of evolution. Choices A, B, and C are incorrect as they do not accurately reflect the key principles highlighted by Darwin in his theory of evolution.

2. When the blastocyst burrows deep into the uterine lining, __________.

• A. implantation occurs
• B. pregnancy does not occur
• C. it stops growing
• D. the cells of the zygote first duplicate

Correct answer: A

Rationale: When the blastocyst burrows deep into the uterine lining, this process is known as implantation. Implantation is a crucial step in the early stages of pregnancy where the blastocyst attaches to the uterine wall in order to receive nourishment and continue developing. Choice B is incorrect because implantation is a necessary step for pregnancy to occur. Choice C is incorrect as implantation marks the beginning of further growth and development. Choice D is incorrect as the duplication of cells occurs during earlier stages of development, not during implantation.

3. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

4. Jade spent two years in a Mexican-American community studying communication between parents and children. Jade was using __________.

• A. naturalistic observation
• B. ethnography
• C. self-reports
• D. structured observation

Correct answer: B

Rationale: Jade was using ethnography. Ethnography involves the systematic study of people and cultures through participant observation and interviews. In this case, Jade spent two years in a Mexican-American community studying communication between parents and children, which aligns with the methodology of ethnography. Ethnography allows researchers to gain an in-depth understanding of a particular cultural group's behaviors, practices, and beliefs. Choice A, naturalistic observation, involves observing subjects in their natural environment without interference or manipulation. While similar to ethnography in some aspects, naturalistic observation does not typically involve the same level of cultural immersion and participant interaction as ethnography. Choice C, self-reports, refers to data collected directly from participants about their thoughts, feelings, or behaviors. This method relies on participants' subjective responses and may not provide the same depth of cultural insights as ethnography. Choice D, structured observation, involves observing behavior in a structured and controlled environment. Unlike ethnography, structured observation does not focus on the cultural nuances and immersive study of a specific community.

5. 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.

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