Nursing Elites

1. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

2. During the third stage of labor, __________.

• A. the cervix thins to nothing
• B. uterine contractions begin
• C. the placenta is delivered
• D. the baby is born

Correct answer: C

Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.

3. Dr. Redmund characterizes his view of development as a bioecological model. His perspective is aligned with that of which theorist?

• A. Jean Piaget
• B. Urie Bronfenbrenner
• C. Lev Vygotsky
• D. Niko Tinbergen

Correct answer: B

Rationale: Dr. Redmund's view of development aligns with the bioecological model, which is associated with Urie Bronfenbrenner. This model emphasizes the interaction between an individual's biological characteristics and environmental influences in development. Jean Piaget's theory focuses on cognitive development, Lev Vygotsky's theory emphasizes social interactions, and Niko Tinbergen is known for his work in animal behavior and instinct, not human development. Therefore, the correct answer is Urie Bronfenbrenner (Choice B).

4. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

5. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

Similar Questions