Nursing Elites

1. What is the function of the amniotic fluid?

• A. Delivers food and oxygen to the developing organism
• B. Helps keep the temperature of the prenatal world constant
• C. Delivers nutrients and removes waste products
• D. Produces blood cells until the organs are mature enough to take over this function

Correct answer: B

Rationale: The correct answer is B: 'Helps keep the temperature of the prenatal world constant.' Amniotic fluid helps maintain a stable and warm environment for the developing organism, assisting in regulating the temperature. This fluid also acts as a cushion, protecting the fetus from physical harm. Choices A, C, and D are incorrect because while amniotic fluid provides protection and support to the developing organism, it does not directly deliver food, oxygen, nutrients, or remove waste products, nor does it produce blood cells as the organs eventually take over this function.

2. Prenatally malnourished babies frequently __________.

• A. reject breast milk
• B. have enlarged hearts
• C. catch respiratory illnesses
• D. have a higher-than-average birth weight

Correct answer: C

Rationale: Prenatally malnourished babies frequently catch respiratory illnesses. Malnourished babies have weakened immune systems, making them more susceptible to illnesses such as respiratory infections. This is a common consequence that is observed in babies who did not receive adequate nutrition during the prenatal period. Choices A, B, and D are incorrect. While malnourished babies may have feeding challenges, rejecting breast milk is not a common consequence. Enlarged hearts are not typically associated with prenatal malnutrition, and having a higher-than-average birth weight is unlikely in malnourished babies.

3. 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.

4. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.

• A. intimacy
• B. ego identity
• C. ego integrity
• D. initiative

Correct answer: C

Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.

5. __________, a strong type of painkiller used in labor and delivery, blocks sensation.

• A. Anesthetics
• B. Analgesics
• C. Anti-inflammatories
• D. Folic acids

Correct answer: A

Rationale: Anesthetics, such as epidurals, are a strong type of painkiller used in labor and delivery that block sensation. They work by numbing the nerves in the lower part of the spine, providing pain relief during childbirth. Choice B, Analgesics, are pain relievers that reduce pain without causing loss of consciousness, but they are not as strong as anesthetics for labor pain. Choice C, Anti-inflammatories, are medications that reduce inflammation and do not directly block sensation like anesthetics. Choice D, Folic acids, are a type of B vitamin crucial for cell growth and metabolism, not used as painkillers in labor and delivery.

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