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. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

3. Before the late 1800s, childbirth usually took place __________.

• A. at home and was a family-centered event
• B. at home, but away from other family members
• C. in a hospital with trained midwives
• D. in the home of a medical professional or in a hospital

Correct answer: A

Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.

4. In the eighth month of pregnancy, what typically happens?

• A. fetal growth doubles
• B. neuron production increases
• C. the eyes, ears, nose, jaw, and neck form
• D. lanugo typically is shed

Correct answer: D

Rationale: In the eighth month of pregnancy, lanugo typically is shed. Lanugo is the fine, downy hair that covers a fetus's body to help regulate body temperature while in the womb. By the eighth month, many fetuses shed this hair as they prepare for birth. Choices A, B, and C are incorrect because fetal growth doubling, neuron production increasing, and the formation of eyes, ears, nose, jaw, and neck occur in earlier stages of pregnancy, not specifically in the eighth month.

5. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

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