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 statement about the newborn baby's appearance is true?

• A. Girls tend to be slightly longer and heavier than boys.
• B. Their round faces and big eyes make adults feel like picking them up.
• C. The trunk is large in comparison to the head, and the legs are straight.
• D. On average, they are 18 inches long and 5½ pounds in weight.

Correct answer: C

Rationale: The correct statement about the newborn baby's appearance is that the trunk is large in comparison to the head, and the legs are straight. This is a common characteristic of newborn babies as their proportions are different from adults. Choice A is incorrect as there is no consistent trend of girls being longer and heavier than boys at birth. Choice B is incorrect as the perception of adults wanting to pick up babies is subjective and not a universal truth. Choice D is incorrect as the average length and weight provided may not apply to all newborn babies, as there can be variations.

3. What is the function of the corpus luteum?

• A. is where fertilization usually takes place
• B. secretes hormones that prepare the lining of the uterus to receive a fertilized ovum
• C. is one of two long, thin structures that lead to the hollow, softly lined uterus
• D. is one of two walnut-sized organs located deep inside a woman's abdomen

Correct answer: B

Rationale: The correct answer is B. The corpus luteum is a temporary endocrine structure in the ovary that forms after ovulation. It secretes hormones, particularly progesterone, which help prepare the uterine lining for possible implantation of a fertilized ovum. This process is crucial for maintaining a potential pregnancy. Choices A, C, and D are incorrect. Choice A is inaccurate as fertilization typically occurs in the fallopian tubes. Choice C describes the fallopian tubes, not the corpus luteum. Choice D refers to the ovaries, not specifically the corpus luteum.

4. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

5. Many theorists believe that behaviorism and social learning theory ________.

• A. overemphasize the plasticity of cognitive development
• B. overestimate people's contributions to their own development
• C. offer too narrow a view of important environmental influences
• D. overemphasize each individual's unique life history

Correct answer: C

Rationale: Many theorists believe that behaviorism and social learning theory offer too narrow a view of important environmental influences. This is because they focus mainly on observable behaviors and external factors, neglecting the role of internal cognitive processes and individual differences in shaping development. Choices A, B, and D are incorrect because behaviorism and social learning theory do not specifically emphasize the plasticity of cognitive development, overestimate people's contributions to their own development, or overemphasize each individual's unique life history. Instead, they are criticized for providing a limited perspective by focusing predominantly on external stimuli and behaviors.

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