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. Self-reports __________.

• A. use a flexible, conversational style to probe for the participant's point of view
• B. describe the entire stream of behavior—everything said and done over a certain time period
• C. range from relatively unstructured interviews to highly structured interviews, questionnaires, and tests
• D. bring together a wide range of information on one person, including interviews, observations, and test scores

Correct answer: C

Rationale: Self-reports can range from relatively unstructured interviews to highly structured interviews, questionnaires, and tests. This variety allows researchers to collect information from participants in different ways, depending on the research goals and the type of information being sought. Choices A, B, and D are incorrect because they do not accurately describe the range and flexibility of self-reports as outlined in the field of research methodology.

3. The mother feels a natural urge to squeeze and push with her abdominal muscles during which stage of labor?

• A. first
• B. second
• C. third
• D. fourth

Correct answer: B

Rationale: The mother feels a natural urge to squeeze and push with her abdominal muscles during the second stage of labor. This stage occurs after the cervix is fully dilated and ends with the delivery of the baby. Choice A (first) is incorrect as the first stage is mainly characterized by the dilation of the cervix. Choice C (third) is incorrect as the third stage is the delivery of the placenta, and choice D (fourth) is incorrect as the fourth stage is the recovery period after childbirth.

4. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

5. 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.

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