Nursing Elites

1. __________ emerges early prenatally and is well-developed at birth.

• A. Visual acuity
• B. Color vision
• C. Depth perception
• D. Sensitivity to touch

Correct answer: D

Rationale: Sensitivity to touch emerges early prenatally and is well-developed at birth. Newborn babies have a well-developed sense of touch, which is crucial for bonding with their caregivers and exploring their environment. This sensitivity to touch helps babies respond to comforting sensations such as gentle strokes and cuddles. Visual acuity, color vision, and depth perception are sensory capabilities that develop and mature after birth, not prenatally. While important for interacting with the environment, they are not as well-developed at birth as sensitivity to touch.

2. Ethnographies reveal that immigrant parents view __________ as the surest way to improve life chances.

• A. learning English
• B. education
• C. close ties to an ethnic community
• D. moving into an urban area

Correct answer: B

Rationale: Ethnographies reveal that immigrant parents prioritize education as the surest way to improve life chances for their children. While learning English is important for integration, education is considered the key for better opportunities and success in the long term. Close ties to an ethnic community can provide support but may not directly lead to improved life chances. Moving into an urban area is not highlighted in the context of immigrant parents' views on improving life chances through their children's development.

3. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

4. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

5. 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%.

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