Nursing Elites

1. 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.

2. At Kohlberg's Stage __________, individuals can imagine alternatives to their own social order, and they emphasize fair procedures for interpreting and changing the law.

• A. 3, the 'good boy/good girl' orientation
• B. 4, the social-order-maintaining orientation
• C. 5, the social contract orientation
• D. 6, the universal ethical principle orientation

Correct answer: C

Rationale: The correct answer is C: '5, the social contract orientation.' At Kohlberg's Stage 5, individuals begin to question their own social order and focus on principles of justice and fairness. This stage emphasizes the importance of social contracts and agreements based on mutual benefit. Choice A is incorrect as the 'good boy/good girl' orientation is characteristic of Stage 3. Choice B, the social-order-maintaining orientation, does not align with the description provided in the question. Choice D, the universal ethical principle orientation, is associated with Stage 6, where individuals act based on self-chosen ethical principles.

3. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

4. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

5. Vygotsky saw ______ play as the ideal social context for fostering cognitive development in early childhood.

• A. make-believe
• B. sensorimotor
• C. block
• D. parallel

Correct answer: A

Rationale: Vygotsky viewed make-believe play as the ideal social context for fostering cognitive development in early childhood. Make-believe play encourages children to explore various roles and scenarios, promoting cognitive and social development. Sensorimotor play focuses on physical interactions with the environment, while block play involves building and construction activities. Parallel play refers to children playing alongside each other without direct interaction, which is not the type of play Vygotsky emphasized for cognitive development.

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