Nursing Elites

1. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

2. When trying to soothe a crying baby, what technique do Western parents typically attempt first?

• A. Massaging the baby's body
• B. Offering a pacifier and a receiving blanket
• C. Playing recorded womb sounds or sounds of nature
• D. Lifting the baby to the shoulder and rocking or walking

Correct answer: D

Rationale: When Western parents aim to soothe a crying baby, the technique they usually try first is lifting the baby to the shoulder and rocking or walking. This method is effective because the motion and closeness provided by rocking or walking can help calm the baby and offer comfort. Choice A is incorrect as massaging the baby's body is not typically the first technique used. Choice B is incorrect as offering a pacifier and a receiving blanket may be tried after lifting the baby to the shoulder. Choice C is also incorrect as playing recorded sounds is usually not the initial technique attempted.

3. 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.

4. Mounting evidence suggests that __________ is a major contributor to SIDS.

• A. impaired brain functioning
• B. higher-than-average birth weight
• C. organized and patterned sleep behavior
• D. a family history of chromosomal abnormalities

Correct answer: A

Rationale: Impaired brain functioning is a major contributor to Sudden Infant Death Syndrome (SIDS). Research has shown that abnormalities in the brainstem, which controls automatic functions like breathing and heart rate, can play a role in SIDS cases. As such, mounting evidence suggests that compromised brain functioning is a significant factor in the occurrence of SIDS. Choices B, C, and D are incorrect. Higher-than-average birth weight, organized and patterned sleep behavior, and a family history of chromosomal abnormalities are not identified as major contributors to SIDS according to the provided information.

5. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

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