Nursing Elites

1. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

2. Ethnographies reveal that immigrant parents view __________ as the surest way to improve life chances.

• A. learning English
• B. education
• C. close ties to an ethnic community
• D. moving into an urban area

Correct answer: B

Rationale: Ethnographies reveal that immigrant parents prioritize education as the surest way to improve life chances for their children. While learning English is important for integration, education is considered the key for better opportunities and success in the long term. Close ties to an ethnic community can provide support but may not directly lead to improved life chances. Moving into an urban area is not highlighted in the context of immigrant parents' views on improving life chances through their children's development.

3. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

4. In an experimental study examining whether the way angry encounters end affects children's emotional reactions, the dependent variable would be the __________.

• A. way the angry encounters end
• B. amount of unresolved anger
• C. frequency of angry encounters
• D. children's emotional reactions

Correct answer: D

Rationale: In an experimental study examining whether the way angry encounters end affects children's emotional reactions, the dependent variable would be the children's emotional reactions. The dependent variable is the outcome being measured or tested in an experiment. In this study, the researchers are trying to understand how the way angry encounters end influences children's emotions. Therefore, the emotional reactions of the children would be the dependent variable that is being studied and measured in relation to the way angry encounters end. Choices A, B, and C are not the dependent variable in this scenario. While they may be related factors, the main focus of the study is on how the way angry encounters end impacts children's emotional reactions, making children's emotional reactions the dependent variable.

5. The discontinuous view of development holds that __________.

• A. infants and preschoolers respond to the world in much the same way as adults do
• B. growth is the process of gradually augmenting the skills that were present from the beginning
• C. infants and children have unique ways of thinking, feeling, and behaving
• D. development is a smooth process limited only by a lack of information and precision

Correct answer: C

Rationale: The discontinuous view of development holds that infants and children have unique ways of thinking, feeling, and behaving. This perspective suggests that development is not a continuous or smooth process, but rather occurs in distinct stages or phases marked by qualitative differences in abilities and behaviors. This contrasts with the idea that development is a gradual augmentation of skills present from the beginning (choice B) or that infants and preschoolers respond to the world in the same way as adults (choice A). Choice D is incorrect because the discontinuous view does not consider development as a smooth process limited by a lack of information and precision. Ultimately, the discontinuous view emphasizes the distinct and evolving nature of development across the lifespan.

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