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. What is a major strength of the longitudinal design?

• A. Examine relationships between early and later behaviors
• B. Collect a large amount of data in a short time span
• C. Explore similarities among children of different cohorts
• D. Study participants differing in age at the same point in time

Correct answer: A

Rationale: A major strength of the longitudinal design is that researchers can examine relationships between early and later behaviors. This design allows researchers to observe and track changes in the same participants over an extended period of time, providing valuable insights into developmental trajectories and how behaviors are connected across different stages of life. Choice B is incorrect because longitudinal studies track changes over time, not necessarily collect a large amount of data in a short time span. Choice C is incorrect as it refers to cross-sectional studies rather than longitudinal studies. Choice D is incorrect as it describes a cross-sectional design where participants of different ages are studied at the same time.

3. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

4. The immune response is the combined work of specialized cells that neutralize or destroy __________ in the body.

• A. T cells
• B. B cells
• C. telomeres
• D. antigens

Correct answer: D

Rationale: The correct answer is D, antigens. Antigens are substances recognized by the immune system as foreign, triggering an immune response to neutralize or destroy them. In this context, T cells and B cells are specialized cells of the immune system that respond to antigens, but they are not the substances being neutralized or destroyed. Telomeres, on the other hand, are protective structures at the end of chromosomes and are not targeted for neutralization or destruction by the immune system.

5. Students who are foreign-born or first-generation Americans _______ than students of native-born parents.

• A. are more likely to commit delinquent and violent acts
• B. are more likely to be obese
• C. often achieve in school as well as or better
• D. tend to report lower self-esteem

Correct answer: C

Rationale: According to the information provided in the text box 'CULTURAL INFLUENCES: Immigrant Youths: Adapting to a New Land' on page 32, students who are foreign-born or first-generation Americans often achieve in school as well as or better than students of native-born parents. This implies that they excel academically despite facing challenges related to cultural adaptation and assimilation. Choices A, B, and D are incorrect because the provided information specifically highlights the academic achievement of foreign-born or first-generation American students compared to students of native-born parents, not their likelihood of committing delinquent acts, obesity rates, or self-esteem levels.

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