Nursing Elites

1. 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.

2. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

3. A baby born between the seventh and eighth months of pregnancy __________.

• A. is just as healthy as a full-term baby
• B. usually needs oxygen assistance to breathe
• C. only has about a 10 percent survival rate
• D. is considered small-for-date

Correct answer: B

Rationale: A baby born between the seventh and eighth months of pregnancy is considered premature. Premature babies are born before they are fully developed and may need assistance with breathing, including oxygen. They are at a higher risk for complications compared to full-term babies. Choice A is incorrect because premature babies are at a higher risk for health issues compared to full-term babies. Choice C is incorrect as modern medical advancements have significantly increased the survival rate of premature babies. Choice D is incorrect as being small-for-date does not solely depend on the gestational age at birth.

4. What are the most obvious organized patterns of behavior in a newborn baby?

• A. Reflexes
• B. States of arousal
• C. Shrill cries
• D. Sleep patterns

Correct answer: A

Rationale: The correct answer is A: Reflexes. Reflexes are automatic, involuntary responses to specific stimuli and are the most obvious organized patterns of behavior in a newborn baby. Examples of newborn reflexes include sucking, rooting, grasping, and the Moro reflex. These reflexes are crucial for the newborn's survival and overall development. Choice B, states of arousal, refers to different levels of consciousness and responsiveness, not organized behavior patterns. Choice C, shrill cries, is a form of communication and not an organized behavior pattern. Choice D, sleep patterns, while important for newborns, are not the most obvious organized behavior patterns.

5. According to research on family chaos, mothers who __________ experience greater psychological stress.

• A. make family meals
• B. frequently multitask
• C. work outside the home
• D. cosleep with their infants

Correct answer: B

Rationale: According to research on family chaos, mothers who frequently multitask experience greater psychological stress. Multitasking can lead to increased stress levels as individuals juggle multiple responsibilities and tasks simultaneously, leading to a sense of being overwhelmed and unable to focus effectively. This can contribute to higher levels of psychological stress for mothers in particular, impacting their overall well-being. Choices A, C, and D are incorrect because the research specifically links frequent multitasking, not making family meals, working outside the home, or cosleeping with infants, to greater psychological stress among mothers.

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