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. When classmates are asked to rate each other's likability, __________ children get many positive votes, whereas __________ children are seldom mentioned.

• A. popular; neglected
• B. neglected; rejected
• C. popular; rejected
• D. controversial; neglected

Correct answer: A

Rationale: The correct answer is A: 'popular; neglected.' Popular children are well-liked by their peers, hence they receive many positive votes. Neglected children, on the other hand, are often overlooked or ignored, resulting in them being seldom mentioned. Choice B is incorrect because neglected and rejected have different meanings. Choice C is incorrect as popular and rejected do not align with the likability context provided in the question. Choice D is incorrect as controversial does not directly relate to likability in the context of the question.

3. Fraternal twins are ____________.

• A. genetically identical
• B. no more alike than ordinary siblings
• C. less common than other types of multiple offspring
• D. less likely with each additional birth

Correct answer: B

Rationale: The correct answer is B. Fraternal twins are no more alike than ordinary siblings because they share about 50% of their genes, just like other siblings. Choice A is incorrect as fraternal twins are not genetically identical. Choice C is incorrect as fraternal twins are actually the most common type of multiple offspring. Choice D is incorrect as the likelihood of fraternal twins is not affected by the number of births a mother has had.

4. Breastfeeding for just a few weeks ________.

• A. is a rare practice among American women
• B. leads directly to later obesity
• C. is not helpful because, in the beginning, breastfeeding causes constipation
• D. offers some protection against respiratory and intestinal infections

Correct answer: D

Rationale: Breastfeeding for even a short period offers infants protection against respiratory and intestinal infections. Choice A is incorrect because breastfeeding is not a rare practice among American women. Choice B is incorrect as there is no direct link between breastfeeding for a few weeks and later obesity. Choice C is incorrect as breastfeeding does not cause constipation in infants; in fact, it can help prevent constipation.

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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