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. The term teratogen refers to __________.

• A. any environmental agent that causes damage during the prenatal period
• B. a limited time span during which a part of the body is biologically prepared to develop rapidly
• C. a rapid period of prenatal neurological development
• D. a synthetic hormone used to prevent miscarriage

Correct answer: A

Rationale: The correct answer is A: 'any environmental agent that causes damage during the prenatal period.' A teratogen is any substance or factor that can cause harm to the developing fetus during pregnancy. Choice B is incorrect because it describes a critical period, not a teratogen. Choice C is incorrect as it refers to a specific period of development, not a teratogen. Choice D is incorrect because it describes a synthetic hormone, not a teratogen.

3. What is a major disadvantage of cross-sectional research?

• A. Age-related changes cannot be examined.
• B. Participants often drop out before the study is over.
• C. Factors affecting individual development cannot be explored.
• D. Practice effects often cause biased findings.

Correct answer: C

Rationale: One major disadvantage of cross-sectional research is that factors affecting individual development cannot be explored thoroughly. Cross-sectional research involves comparing different groups of people at one specific point in time, and does not allow for tracking individual changes over time. This limitation means that the unique influences and trajectories of individual development may be overlooked in cross-sectional studies. Choices A, B, and D are incorrect. Choice A is not a major disadvantage of cross-sectional research as age-related changes can still be compared across different groups in this type of study. Choice B, while a potential issue in any study, is not specific to cross-sectional research. Choice D refers to a different type of bias caused by repeated testing rather than a major disadvantage of cross-sectional research.

4. The first successful intelligence test was originally constructed to __________.

• A. measure individual differences in IQ
• B. document age-related improvements in children's intellectual functioning
• C. identify children with learning problems who needed to be placed in special classes
• D. compare the scores of people who varied in gender, ethnicity, and birth order

Correct answer: C

Rationale: The first successful intelligence test, the Binet-Simon Scale, was originally developed to identify children with learning problems who required special educational interventions. Choice A is incorrect because measuring individual differences in IQ was not the primary purpose of the test. Choice B is incorrect because documenting age-related improvements in children's intellectual functioning was not the main goal of the test. Choice D is incorrect because comparing the scores of people based on gender, ethnicity, and birth order was not the intended use of the intelligence test.

5. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

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