Nursing Elites

1. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.

• A. probably easy to console
• B. susceptible to colic
• C. likely to spend less time in REM sleep
• D. unlikely to respond to swaddling

Correct answer: B

Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.

2. An inadequate diet during pregnancy can __________.

• A. lead to higher birth weight and greater brain weight
• B. reduce the risk of pregnancy-induced maternal diabetes
• C. distort the structure of the liver, kidney, and pancreas
• D. lead to fewer physical discomforts in the final weeks Answer: C Page Ref: 88 Skill Level: Understand Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: An inadequate diet during pregnancy can lead to the distortion of the structure of the liver, kidney, and pancreas in the developing fetus. Proper nutrition during pregnancy is crucial for the healthy development of these organs and essential for the overall well-being of the baby. A balanced diet supports optimal growth and development, while inadequate nutrition can have detrimental effects on the baby's organs and long-term health.

3. 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.

4. 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.

5. According to operant conditioning theory, __________.

• A. the frequency of a behavior can be increased through punishment, such as disapproval
• B. normal development must be understood in relation to each culture's life situation
• C. the id develops as parents insist that children conform to the values of society
• D. the frequency of a behavior can be increased by following it with a wide variety of reinforcers

Correct answer: D

Rationale: According to operant conditioning theory, the frequency of a behavior can be increased by following it with a wide variety of reinforcers. In operant conditioning, behaviors are shaped through reinforcement, which can be positive (rewarding) or negative (removal of something unpleasant). By providing reinforcement following a behavior, the likelihood of that behavior occurring again in the future is increased. This supports the notion that the frequency of a behavior can be increased by using reinforcers in operant conditioning. Choices A, B, and C are incorrect because operant conditioning focuses on the relationship between behavior and its consequences through reinforcement (positive or negative) to increase the likelihood of the behavior recurring, rather than punishment, cultural influences, or the development of the id based on societal values.

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