Nursing Elites

1. __________ may heighten the effects of a high-fat diet.

• A. Sex hormones
• B. Over-the-counter medications
• C. Free radicals
• D. Low body weight

Correct answer: C

Rationale: Free radicals may contribute to oxidative stress, increasing the risk of conditions associated with a high-fat diet. When consuming a high-fat diet, the body may produce more free radicals, leading to oxidative damage. Sex hormones, over-the-counter medications, and low body weight do not directly heighten the effects of a high-fat diet like free radicals do.

2. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

3. A 20-week-old fetus can __________.

• A. be stimulated as well as irritated by sounds
• B. survive, if born early
• C. breathe without oxygen assistance, if born early
• D. control its own body temperature Answer: A Page Ref: 80 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: A 20-week-old fetus is able to be stimulated as well as irritated by sounds because by this stage of prenatal development, the fetus's auditory system is already well-developed. It can respond to external sounds and may even startle or move in reaction to loud noises.

4. Dana is pregnant with her first child and wonders how much weight she should gain during the pregnancy. You should recommend a healthy diet that results in a weight gain of __________ pounds.

• A. 10 to 15
• B. 15 to 20
• C. 25 to 30
• D. 35 to 40

Correct answer: C

Rationale: The recommended weight gain during pregnancy depends on the pre-pregnancy weight of the mother. For a woman with a normal pre-pregnancy BMI, the recommended weight gain is typically between 25 to 30 pounds. This range is considered healthy to support the growth and development of the baby while also maintaining the mother's health. Choices A, B, and D are incorrect as they represent weight gain ranges that are either too low or too high for a woman with a normal pre-pregnancy BMI, which could pose health risks for both the mother and the baby. It is crucial to adhere to healthcare professionals' guidelines to ensure a healthy pregnancy and birth outcome.

5. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

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