Nursing Elites

1. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

2. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

3. In the information-processing system, where does information first enter?

• A. central executive
• B. short-term memory store
• C. sensory register
• D. long-term memory store

Correct answer: C

Rationale: In the information-processing system, information first enters the sensory register. This is where sensory information from the environment is briefly stored before being processed further. The central executive is responsible for coordinating cognitive processes, the short-term memory store holds information temporarily for immediate tasks, and the long-term memory store stores information for long periods, but the sensory register is the initial entry point for incoming information.

4. During the third stage of labor, __________.

• A. the cervix thins to nothing
• B. uterine contractions begin
• C. the placenta is delivered
• D. the baby is born

Correct answer: C

Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.

5. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

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