Which mother is most likely to have had inadequate prenatal care?

Correct Answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

Correct Answer: D

Rationale: A combined Apgar score of 7 or better indicates that the infant is in good physical condition. The Apgar score is a quick assessment of a newborn's overall health shortly after birth. It evaluates the baby's heart rate, respiratory effort, muscle tone, reflexes, and color. A score of 7 or higher indicates that the baby is adjusting well to life outside the womb. Choices A, B, and C are incorrect as they represent scores that indicate the infant may need medical attention or assistance as they are below the threshold of 7 which signifies good physical condition.

Correct Answer: C

Rationale: According to research, mothers who are supported by a trained companion during childbirth have fewer birth complications and shorter labors. This support can reduce stress and anxiety levels, provide comfort and encouragement, and help the mother feel more in control during labor and delivery. Overall, having a trained companion present can contribute to a more positive childbirth experience for the mother. Choices A, B, and D are incorrect because they do not align with the research findings that specifically highlight the benefits of having a trained companion during childbirth.

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.

Correct Answer: D

Rationale: In developing countries, the most readily available intervention for promoting the recovery of preterm babies is skin-to-skin 'kangaroo care.' This involves direct skin-to-skin contact between the baby and a caregiver, typically the mother, which helps regulate the baby's body temperature, improve bonding, and support overall development. Kangaroo care can be easily implemented even in resource-limited settings and has been shown to have positive effects on preterm infants' health outcomes. Choices A, B, and C are incorrect because hospitalization, care in an isolette, and lying on a waterbed are not specifically tailored interventions that address the unique needs of preterm babies in developing countries like kangaroo care does.