Nursing Elites

1. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

2. 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.

3. During pregnancy, the placenta __________.

• A. forms in the second trimester of pregnancy
• B. encloses the developing organism in amniotic fluid
• C. contains one large vein that delivers nutrients to the embryo
• D. delivers food and oxygen to the developing organism

Correct answer: D

Rationale: The placenta delivers food and oxygen to the developing organism during pregnancy. It is a temporary organ that forms in the first trimester of pregnancy. Choice A is incorrect as the placenta forms in the first trimester, not the second trimester. Choice B is incorrect as the amniotic sac, not the placenta, encloses the developing organism in amniotic fluid. Choice C is incorrect as the placenta contains blood vessels (arteries and veins) that deliver nutrients to the embryo, not just one large vein.

4. Infants engage in __________ by actively seeking emotional information from a trusted person in an uncertain situation.

• A. self-control
• B. give-and-take
• C. emotional self-regulation
• D. social referencing

Correct answer: D

Rationale: The correct answer is 'social referencing.' Social referencing is a behavior where infants seek emotional information from a trusted person, usually a caregiver, to determine how to respond in uncertain situations. This process helps infants regulate their emotions and behaviors based on the cues they receive from the trusted individual. Choices A, B, and C are incorrect because self-control, give-and-take, and emotional self-regulation do not specifically involve seeking emotional information from others in uncertain situations, as social referencing does.

5. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

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