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. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

3. According to the lifespan perspective, _______ is supreme in its impact on the life course.

• A. the prenatal period
• B. early childhood
• C. adolescence
• D. no age period

Correct answer: D

Rationale: According to the lifespan perspective, no single period is considered supreme in its impact on the life course. Each stage of life, from prenatal period through adulthood, plays a significant role in shaping an individual's development. Therefore, the correct answer is 'D: no age period.' Choices A, B, and C are incorrect because the lifespan perspective emphasizes that all stages are important and contribute uniquely to an individual's life course.

4. Professor Higgins is concerned about the findings of a longitudinal study on childhood depression that she conducted between 1985 and 2015 in New York because many of the participants witnessed the terrorist attacks on the World Trade Center. Professor Higgins is concerned about __________ effects.

• A. practice
• B. cross-sectional
• C. dropout
• D. cohort

Correct answer: D

Rationale: The concern Professor Higgins has regarding the findings of the longitudinal study is related to cohort effects. Cohort effects occur when a specific group of individuals experience a common event or circumstance that could influence the results of a study. In this case, the participants witnessing the terrorist attacks on the World Trade Center could have had a significant impact on their development and mental health outcomes, leading to cohort effects observed in the study. Choice A, 'practice,' is incorrect as it refers to the repeated performance of an activity to improve skill. Choice B, 'cross-sectional,' is incorrect as it involves data collection at a single point in time. Choice C, 'dropout,' is incorrect as it refers to participants leaving a study prematurely.

5. 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.

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