Nursing Elites

1. 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.

2. The harm done by teratogens __________.

• A. is straightforward and predictable
• B. is usually apparent at birth
• C. rarely goes beyond physical damage
• D. depends on age at the time of exposure

Correct answer: D

Rationale: The harm done by teratogens depends on the age at the time of exposure. This means that the effects may vary depending on the developmental stage of the fetus when exposed to the teratogen. Teratogens can have different impacts at different stages of pregnancy, leading to a range of potential outcomes in terms of physical and/or cognitive development. Choices A, B, and C are incorrect because the harm caused by teratogens is not straightforward, may not be apparent at birth, and can go beyond physical damage, affecting cognitive development as well.

3. In an investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early __________ than children who experienced a full-length prenatal period.

• A. showed lower reading and math scores at a third-grade follow-up
• B. were less likely to suffer from childhood obesity
• C. were less likely to suffer from neurological impairments
• D. showed higher language and social/emotional scores in early childhood

Correct answer: A

Rationale: In the investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early showed lower reading and math scores at a third-grade follow-up compared to children who experienced a full-length prenatal period. This suggests that being born slightly premature can have an impact on cognitive development, leading to educational challenges later on. Choices B, C, and D are incorrect because the study specifically highlighted lower reading and math scores, not a reduced likelihood of suffering from childhood obesity or neurological impairments, or improved language and social/emotional scores in early childhood.

4. 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.

5. 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.

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