Which factors are the main causes of the high infant mortality rate? Select all that apply.
Cardiac complications
Necrotizing enterocolitis
Viral infections
Prematurity
Sudden infant death syndrome
Low birth weight
Correct Answer : B,D,E,F
Choice A: Cardiac complications are not the correct answer because they are not the main cause of the high infant mortality rate. Cardiac complications are problems that affect the heart or blood vessels of the newborn, such as congenital heart defects, arrhythmias, or heart failure. They can cause serious symptoms such as cyanosis, difficulty breathing, or poor feeding. However, they account for only about 5% of all infant deaths in the United States.
Choice B: Necrotizing enterocolitis is the correct answer because it is the main cause of the high infant mortality rate. Necrotizing enterocolitis is a condition that causes inflammation and death of the intestinal tissue of the newborn, leading to infection, perforation, or sepsis. It can cause symptoms such as abdominal distension, bloody stools, or shock. It is more common in premature or low birth weight infants and accounts for about 10% of all neonatal deaths.
Choice C: Viral infections are not the correct answer because they are not the main cause of the high infant mortality rate. Viral infections are diseases that are caused by viruses that invade the cells of the newborn, such as respiratory syncytial virus (RSV), cytomegalovirus (CMV), or herpes simplex virus (HSV). They can cause symptoms such as fever, cough, rash, or blisters. However, they account for only about 2% of all infant deaths in the United States.
Choice D: Prematurity is the correct answer because it is the main cause of the high infant mortality rate. Prematurity is a condition that occurs when a baby is born before 37 weeks of gestation, which is considered full-term. Premature babies are at risk of developing various complications such as respiratory distress syndrome, intraventricular hemorrhage, or retinopathy of prematurity. Prematurity accounts for about 35% of all infant deaths in the United States.
Choice E: Sudden infant death syndrome is the correct answer because it is the main cause of the high infant mortality rate. Sudden infant death syndrome is a condition that causes the unexpected and unexplained death of an apparently healthy baby during sleep. The exact cause of sudden infant death syndrome is unknown, but some risk factors include sleeping on the stomach, overheating, smoking exposure, or soft bedding. Sudden infant death syndrome accounts for about 15% of all infant deaths in the United States.
Choice F: Low birth weight is the correct answer because it is the main cause of the high infant mortality rate. Low birth weight is a condition that occurs when a baby is born weighing less than 2,500 grams (5 pounds 8 ounces). Low birth weight babies are at risk of developing various complications such as hypothermia, hypoglycemia, or jaundice. Low birth weight accounts for about 25% of all infant deaths in the United States.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A: Fecal incontinence is not the correct answer because it is not a disorder of pelvic organ prolapse. Fecal incontinence is a condition that causes the loss of bowel control, resulting in involuntary leakage of stool or gas. It can be caused by various factors such as nerve damage, muscle weakness, or diarrhea. It is not related to the displacement or descent of pelvic organs.
Choice B: Rectocele is the correct answer because it is a disorder of pelvic organ prolapse. Rectocele is a condition that occurs when the rectum bulges or sags into the vagina, creating a pouch or hernia. It can cause symptoms such as constipation, difficulty with bowel movements, or a feeling of pressure or fullness in the vagina. It is caused by the weakening or stretching of the pelvic floor muscles and connective tissue that support the rectum and vagina.
Choice C: Urinary incontinence is the correct answer because it is a disorder of pelvic organ prolapse. Urinary incontinence is a condition that causes the loss of bladder control, resulting in involuntary leakage of urine or urge to urinate. It can be caused by various factors such as stress, infection, or medication. It is also related to the displacement or descent of pelvic organs, such as the bladder or urethra, which can affect the function and closure of the urinary sphincter.
Choice D: Cystocele is the correct answer because it is a disorder of pelvic organ prolapse. Cystocele is a condition that occurs when the bladder protrudes or drops into the vagina, creating a pouch or hernia. It can cause symptoms such as urinary frequency, urgency, or retention, or a feeling of pressure or fullness in the vagina. It is caused by the weakening or stretching of the pelvic floor muscles and connective tissue that support the bladder and vagina.
Choice E: Enterocele is the correct answer because it is a disorder of pelvic organ prolapse. Enterocele is a condition that occurs when the small intestine bulges or descends into the vagina, creating a pouch or hernia. It can cause symptoms such as lower back pain, pelvic pressure, or difficulty with bowel movements. It is caused by the weakening or stretching of the pelvic floor muscles and connective tissue that support the small intestine and vagina.

Correct Answer is A
Explanation
Choice A: "A provider can help you with that after a physical examination." This response is appropriate and respectful because it acknowledges the client's right to choose a contraceptive method that suits her needs and preferences. It also encourages the client to seek professional advice and care from a provider who can assess her health status, medical history, and risk factors, and offer her a range of options and information.
Choice B: "You are so young. Are you ready for the responsibilities of a sexual relationship?" This response is inappropriate and judgmental because it implies that the client is too immature or irresponsible to have a sexual relationship. It also discourages the client from seeking help or information from the nurse and may make her feel ashamed or guilty about her sexuality.
Choice C: "Because of your age, I think that a barrier method would be the best choice." This response is inappropriate and paternalistic because it assumes that the nurse knows what is best for the client without considering her individual situation or preferences. It also limits the client's options and may not address her specific needs or concerns.
Choice D: "Before I can help you, I need to know more about your sexual activity." This response is inappropriate and intrusive because it asks for personal and sensitive information that may not be relevant or necessary for choosing a contraceptive method. It also violates the client's privacy and may make her feel uncomfortable or embarrassed.
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