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 describes a strength of naturalistic observation?

• A. It reflects the participants' everyday lives.
• B. It permits comparisons of participants' responses.
• C. Great depth and breadth of information can be obtained in a short time.
• D. It grants each participant an equal opportunity to display the behavior of interest.

Correct answer: A

Rationale: Naturalistic observation reflects the participants' everyday lives because it involves observing individuals in their natural environments without any manipulation. This allows researchers to see how people behave in real-world settings and can provide valuable insights into their typical behavior patterns. Choice B is incorrect because naturalistic observation focuses on observing behavior in its natural setting rather than comparing responses between participants. Choice C is incorrect as naturalistic observation tends to provide rich, qualitative data rather than a large amount of information in a short time. Choice D is incorrect because in naturalistic observation, participants are observed as they naturally behave, which may not always lead to an equal opportunity for all participants to display the behavior of interest.

3. Shamona, a pregnant mother in Flint, Michigan, is concerned about the drinking water, which shows high levels of lead. Shamona should know that high levels of prenatal lead exposure are related to __________.

• A. facial abnormalities and heart defects
• B. defects of the genitals and urinary tract
• C. low birth weight and brain damage
• D. a variety of childhood cancers

Correct answer: C

Rationale: High levels of prenatal lead exposure are related to low birth weight and brain damage. Lead exposure during pregnancy can have harmful effects on the developing fetus, leading to complications such as decreased birth weight and potential long-term brain damage. Choices A, B, and D are incorrect because they do not directly correlate with the known effects of prenatal lead exposure. While lead exposure can indeed cause a variety of health issues, such as heart defects and urinary tract problems, the primary concerns related to prenatal exposure are low birth weight and brain damage.

4. School-age children master concrete operational tasks ________.

• A. all at once
• B. gradually, in a continuum of acquisition
• C. much later than Piaget believed
• D. after they master abstract thinking

Correct answer: B

Rationale: Correct answer: School-age children master concrete operational tasks gradually, in a continuum of acquisition. Piaget's theory suggests that children develop cognitive abilities in stages, with concrete operational tasks being acquired gradually as part of this process. Choices A, C, and D are incorrect because concrete operational tasks are not typically mastered all at once, much later than Piaget believed, or necessarily after mastering abstract thinking.

5. When children are research participants, __________.

• A. Investigators need to seek the opinion of others if in doubt about the harmful effects of research.
• B. They have the right to concealment of their identity on information collected in the course of research.
• C. There is a need to inform them or their parents of the results of the research.
• D. Informed consent of their parents as well as others who act on their behalf should be obtained.

Correct answer: D

Rationale: When children are research participants, it is essential to obtain informed consent from their parents or others who act on their behalf. This is to ensure that the child's rights and well-being are protected during the research process. Informed consent is a fundamental ethical principle in research involving children, as they may not have the capacity to fully understand the implications of their participation. Choice A is incorrect because seeking the opinion of others when in doubt about harmful effects is not a substitute for informed consent. Choice B is incorrect because children do not have an absolute right to conceal their identity in research, especially when it comes to ensuring their safety and well-being. Choice C is incorrect as it is important to inform children or their parents about the results of the research to maintain transparency and respect for their participation.

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