Nursing Elites

1. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

2. Which of the following best describes a sequential design?

• A. Does not address diversity in developmental outcomes.
• B. Permits researchers to check if cohort effects are operating.
• C. Is less efficient than a longitudinal design.
• D. Makes cross-sectional, but not longitudinal, comparisons.

Correct answer: B

Rationale: A sequential design permits researchers to check if cohort effects are operating. This design involves combining cross-sectional and longitudinal research, allowing for the comparison of different cohorts at different ages. By using this approach, researchers can determine if developmental changes observed are due to age or generation-specific factors. Therefore, a sequential design is valuable in addressing the potential influence of cohort effects on developmental outcomes. Choices A, C, and D are incorrect because a sequential design does not neglect diversity in developmental outcomes, is not necessarily less efficient than a longitudinal design, and can make both cross-sectional and longitudinal comparisons.

3. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.

• A. lanugo
• B. corpus luteum
• C. vernix
• D. chorion

Correct answer: C

Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.

4. Which research method was borrowed from the field of anthropology?

• A. ethnography
• B. clinical interview
• C. structured interview
• D. systematic observation

Correct answer: A

Rationale: The correct answer is A: ethnography. Ethnography is a research method borrowed from the field of anthropology. It involves observing and documenting behaviors and interactions in a naturalistic setting. This method allows researchers to gain insight into the cultural context and practices of a group through direct observation and participation. Choices B, C, and D are incorrect because clinical interviews, structured interviews, and systematic observations are research methods used in different contexts and fields, not borrowed specifically from anthropology.

5. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

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