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. A childbirth leave of __________ predicts favorable maternal physical and mental health, supportive marital interaction, and sensitive caregiving.

• A. 6 weeks
• B. 8 weeks
• C. 10 weeks
• D. 12 weeks or more

Correct answer: D

Rationale: Research indicates that a childbirth leave of 12 weeks or more leads to favorable outcomes for maternal physical and mental health, supportive marital interaction, and sensitive caregiving. This extended period of leave allows mothers to recover physically, adjust psychologically, and establish strong bonds with their newborn, which ultimately benefits the whole family. Choices A, B, and C are incorrect as they do not provide the optimal duration needed for mothers to experience the full range of benefits associated with an extended childbirth leave.

3. Which individual is most likely to experience the greatest percentage of REM sleep?

• A. Sammy, a preschool child
• B. Jake, a full-term newborn
• C. Sarah, a teenager
• D. Cheryl, a preterm newborn Answer: D Page Ref: 104 Copyright © 2018 Laura E. Berk. All Rights Reserved. 32 Test Bank for Berk, Development Through the Lifespan, 7e Skill Level: Apply Topic: The Newborn Baby’s Capacities Difficulty Level: Moderate

Correct answer: D

Rationale: Preterm newborns, like Cheryl, experience a higher percentage of REM sleep compared to full-term newborns. This is because REM sleep plays a critical role in brain development, and preterm infants have an increased need for brain development due to their early arrival. Therefore, Cheryl, as a preterm newborn, is most likely to experience the greatest percentage of REM sleep among the individuals listed.

4. 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%.

5. A major limitation of systematic observation is that it __________.

• A. provides little information on how participants actually behave
• B. tells investigators little about the reasoning behind responses and behaviors
• C. underestimates the capacities of individuals who have difficulty putting their thoughts into words
• D. ignores participants with poor memories, who may have trouble recalling exactly what happened

Correct answer: B

Rationale: A major limitation of systematic observation is that it tells investigators little about the reasoning behind responses and behaviors. Systematic observation focuses more on recording observable behaviors rather than delving into the underlying reasons or thought processes driving those behaviors. Choices A, C, and D are incorrect because systematic observation can indeed provide detailed information on how participants actually behave, it doesn't necessarily underestimate the capacities of individuals who struggle with verbal expression, and it doesn't solely ignore participants with poor memories as it can capture behavior in real-time regardless of memory recall.

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