Nursing Elites

1. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

2. Which statement about a blastocyst is true?

• A. It consists of a single cell.
• B. It is a structure that feeds the developing organism.
• C. Between the seventh and ninth days, it burrows deep into the uterine lining.
• D. It is a membrane that helps to keep the temperature of the prenatal world constant.

Correct answer: C

Rationale: The statement that is true about a blastocyst is that between the seventh and ninth days, it burrows deep into the uterine lining. This process, known as implantation, is essential for the blastocyst to establish a connection with the mother's body and receive nutrients for further development. It is a critical stage in prenatal development and sets the foundation for pregnancy. Choices A, B, and D are incorrect. A blastocyst is not a single cell but rather a structure composed of many cells. It is not a structure that feeds the developing organism; instead, it implants in the uterine lining to receive nutrients. It is not a membrane that regulates temperature but plays a crucial role in the initial stages of pregnancy by implanting in the uterus.

3. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

4. Tammy's father is an exceptional gymnast. When Tammy was just a toddler, her father believed that Tammy already showed great promise as a gymnast. Tammy's father probably believes that athletic ability is mostly determined by __________.

• A. nurture
• B. stages
• C. nature
• D. early experiences

Correct answer: C

Rationale: Tammy's father likely believes that athletic ability is mostly determined by nature because he believes she showed great promise at a young age, indicating a natural talent or genetic predisposition towards gymnastics. This suggests that he attributes Tammy's abilities to her inherent qualities rather than her upbringing or experiences (nurture). While stages and early experiences can play a role in skill development, in this context, the emphasis is on innate abilities, making 'nature' the most suitable choice.

5. Dr. McBride wants to know if the teacher's use of encouragement in the classroom affects the children's self-esteem. To assign children to treatment conditions, Dr. McBride should __________.

• A. carefully distribute the children according to their test scores
• B. divide the children so each group has an equal number of boys and girls
• C. draw the children's names out of a hat
• D. assign the quieter children to the same treatment condition

Correct answer: C

Rationale: Drawing the children's names out of a hat is a way to randomly assign them to treatment conditions. Random assignment helps to ensure that any differences in self-esteem that may be observed in the study are not due to pre-existing characteristics of the children. This method helps to establish a cause-and-effect relationship between the teacher's use of encouragement and the children's self-esteem. Choice A is incorrect because assigning children based on test scores may introduce bias into the study. Choice B is incorrect as balancing gender is not relevant to the research question. Choice D is incorrect as it introduces a bias by selecting a specific group of children based on a characteristic unrelated to the study objective.

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