Nursing Elites

1. When Mateo was born prematurely to Yvonne, a cocaine addict, what can his caregivers expect?

• A. He will be very attentive to the environment
• B. His cries will be abnormally shrill and piercing
• C. He will overcome the harmful effects of drug exposure by age 3
• D. His motor development will be especially rapid during the first year

Correct answer: B

Rationale: Mateo, being born prematurely to a cocaine-addicted mother, is at risk for several health issues. One common effect of prenatal drug exposure is a higher likelihood of sensory and regulatory problems, such as having abnormally shrill and piercing cries. This is a potential outcome that Mateo's caregivers can expect due to his circumstances. Choice A is incorrect as there is no direct correlation between being born prematurely to a cocaine-addicted mother and being very attentive to the environment. Choice C is incorrect as overcoming harmful effects of drug exposure by age 3 is overly optimistic and may not be the case for all children exposed to drugs prenatally. Choice D is incorrect as rapid motor development is not typically associated with prenatal drug exposure.

2. A 20-week-old fetus can __________.

• A. be stimulated as well as irritated by sounds
• B. survive, if born early
• C. breathe without oxygen assistance, if born early
• D. control its own body temperature Answer: A Page Ref: 80 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: A 20-week-old fetus is able to be stimulated as well as irritated by sounds because by this stage of prenatal development, the fetus's auditory system is already well-developed. It can respond to external sounds and may even startle or move in reaction to loud noises.

3. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

4. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

5. The embryonic disk __________.

• A. becomes the new organism
• B. is the outer ring of cells on a blastocyst
• C. has a good chance of survival outside the womb
• D. is a protective membrane that surrounds the amnion Answer: A Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: The embryonic disk becomes the new organism. It is a cluster of cells within the blastocyst that will develop into the fetus during the early stages of prenatal development. This cluster of cells is responsible for giving rise to all the tissues and organs of the developing organism.

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