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. Dr. Whiren studies how culture is transmitted to the next generation. Dr. Whiren’s research best aligns with the perspective of which theorist?

• A. Jean Piaget
• B. John Bowlby
• C. Lev Vygotsky
• D. Erik Erikson Answer: C Page Ref: 22 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Difficult

Correct answer: C

Rationale: Dr. Whiren's study on how culture is transmitted to the next generation aligns best with the perspective of Lev Vygotsky. Vygotsky was a developmental psychologist who emphasized the importance of social interactions and cultural influences in shaping cognitive development. He believed that children learn through interactions with others and that culture plays a significant role in this learning process.

3. Which statement about the human immunodeficiency virus (HIV) is true?

• A. About 30 percent of all new HIV infections affect women.
• B. In South Africa, 30 percent of all pregnant women are HIV-positive.
• C. About 30 percent of new HIV infections occur in developing countries.
• D. Untreated HIV-infected mothers pass the virus to the fetus 30 percent of the time.

Correct answer: B

Rationale: The correct answer is B: 'In South Africa, 30 percent of all pregnant women are HIV-positive.' This statement is true as South Africa has a high prevalence of HIV among pregnant women, emphasizing the need for interventions to prevent mother-to-child transmission. Choices A, C, and D are incorrect. Choice A is inaccurate as women account for more than 50% of new HIV infections globally. Choice C is misleading as the majority of new HIV infections actually occur in sub-Saharan Africa, not just developing countries. Choice D is also incorrect as without treatment, the risk of mother-to-child transmission is higher than 30%.

4. Piaget's critics point out that __________.

• A. he overestimated the competencies of infants and young children
• B. his stagewise account pays insufficient attention to social and cultural influences
• C. discovery learning rather than adult teaching is the best way to foster development
• D. children's performances on Piagetian tasks cannot be improved with training

Correct answer: B

Rationale: Piaget's critics point out that his stagewise account pays insufficient attention to social and cultural influences. Critics argue that Piaget's theory does not fully consider the impact of social interactions, cultural differences, and individual experiences on children's cognitive development. They believe that these factors play a crucial role in shaping a child's thinking and problem-solving abilities, which should be given more emphasis. Choice A is incorrect because Piaget's critics do not focus on him overestimating the competencies of infants and young children. Choice C is incorrect as it discusses a different aspect of learning rather than the critique of Piaget's theory. Choice D is also incorrect since critics do not argue that children's performances on Piagetian tasks cannot be improved with training.

5. __________ children are at risk for poor school performance, substance abuse, and antisocial behavior in adolescence and criminality in adulthood.

• A. Average
• B. Controversial
• C. Rejected
• D. Popular

Correct answer: C

Rationale: Rejected children often face social difficulties that lead to negative outcomes later in life, including academic and behavioral problems. The term 'rejected' specifically refers to children who are socially excluded or shunned by their peers, leading to the mentioned negative consequences. 'Average,' 'Controversial,' and 'Popular' do not convey the same meaning and are not related to the risks mentioned in the question.

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