Nursing Elites

1. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

2. Mothers who __________ have fewer birth complications and shorter labors.

• A. choose cesarean delivery
• B. give birth at home
• C. are supported by a trained companion during childbirth
• D. are administered epidural analgesia during childbirth

Correct answer: C

Rationale: According to research, mothers who are supported by a trained companion during childbirth have fewer birth complications and shorter labors. This support can reduce stress and anxiety levels, provide comfort and encouragement, and help the mother feel more in control during labor and delivery. Overall, having a trained companion present can contribute to a more positive childbirth experience for the mother. Choices A, B, and D are incorrect because they do not align with the research findings that specifically highlight the benefits of having a trained companion during childbirth.

3. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

4. Development is best understood as __________.

• A. genetically determined
• B. environmentally influenced
• C. an unsolvable puzzle
• D. a series of complex exchanges between nature and nurture

Correct answer: D

Rationale: The correct answer is D. Development is best understood as a series of complex exchanges between nature (genetic factors) and nurture (environmental influences). This perspective emphasizes the interaction and interplay between genetic predispositions and environmental experiences in shaping an individual's development. Choices A and B are too extreme as they suggest that development is solely determined by genetics or solely influenced by the environment, which is not the case. Choice C is incorrect as development is not viewed as an unsolvable puzzle but rather as a dynamic process influenced by multiple factors.

5. Ethnographic research is directed toward understanding a culture through __________ observation.

• A. naturalistic
• B. participant
• C. systematic
• D. structured

Correct answer: B

Rationale: Ethnographic research is directed toward understanding a culture through participant observation. This type of observation involves the researcher immersing themselves in the culture being studied, actively participating in the daily activities and interactions of the group being studied. Through participant observation, researchers can gain a deep and nuanced understanding of the culture from the inside. Choice A, naturalistic observation, typically refers to observing subjects in their natural environment without interference, but it does not involve actively participating in the culture. Choice C, systematic observation, focuses on carefully planned and structured data collection methods but may not involve direct participation. Choice D, structured observation, implies a predefined set of guidelines for observation but lacks the immersive aspect of participant observation.

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