Nursing Elites

1. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

2. Fetal monitoring is __________.

• A. rarely used in U.S. hospitals
• B. linked with low birth weight
• C. linked with a decreased rate of cesarean deliveries
• D. required in most U.S. hospitals

Correct answer: D

Rationale: Fetal monitoring is required in most U.S. hospitals during labor and delivery to track the baby's heart rate and the mother's contractions. This helps healthcare providers to assess the well-being of the fetus and make timely decisions regarding the need for interventions if any complications arise. Choices A, B, and C are incorrect because fetal monitoring is a standard procedure in most hospitals to ensure the safety and health of both the mother and the baby during labor.

3. The more a mental ability depends on __________ intelligence, the earlier it starts to decline.

• A. fluid
• B. crystallized
• C. emotional
• D. cultural

Correct answer: A

Rationale: The correct answer is A: fluid. Fluid intelligence, which involves problem-solving and reasoning, tends to decline earlier than crystallized intelligence. Crystallized intelligence, on the other hand, involves knowledge and skills acquired over time and is more stable with age. Emotional intelligence and cultural intelligence are not directly related to the decline of mental abilities mentioned in the question, making them incorrect choices.

4. Jalynn is in the last half of the first month of her pregnancy. Which of the following is developing the fastest?

• A. circulatory system
• B. endocrine system
• C. nervous system
• D. skin

Correct answer: C

Rationale: During the last half of the first month of pregnancy, the nervous system develops the fastest among the options provided. This rapid development of the nervous system is crucial for the overall growth and functioning of the fetus. The nervous system includes the brain and spinal cord, which are essential for various bodily functions and will continue to develop throughout the pregnancy. The circulatory system, although important, does not develop at the fastest rate during this stage. The endocrine system and skin also play significant roles in the development of the fetus but are not the systems that develop the fastest in the last half of the first month of pregnancy.

5. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

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