Nursing Elites

1. 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.

2. Cindy tells her daughter, “I know you can do a good job on that homework” because she believes that if she encourages persistence, her daughter will start to view herself as hardworking and high-achieving. Cindy is applying the __________ approach.

• A. behavior modification
• B. psychosocial
• C. cognitive-developmental
• D. social-cognitive Answer: D Page Ref: 17 Skill Level: Apply Topic: Mid-Twentieth-Century Theories Difficulty Level: Difficult

Correct answer: D

Rationale: Cindy is applying the social-cognitive approach by encouraging her daughter to believe in her own abilities and persist in her efforts. This approach emphasizes the importance of social influences and cognitive processes in shaping behavior. By providing positive reinforcement and fostering a belief in her daughter's capabilities, Cindy is helping to shape her daughter's self-perception and motivation to achieve success.

3. The lifespan perspective on human development assumes that development is __________.

• A. static and stable
• B. multidimensional and multidirectional
• C. continuous, rather than discontinuous
• D. largely the result of heredity

Correct answer: B

Rationale: The lifespan perspective on human development assumes that development is multidimensional and multidirectional. This means that development occurs in various domains (such as physical, cognitive, and psychosocial) and can involve gains and losses as individuals age. This perspective recognizes that human development is complex and dynamic, involving various factors and pathways over the course of a person's life. Choices A, C, and D are incorrect because human development is not static and stable (A), can involve both continuous and discontinuous changes (C), and is influenced by a combination of heredity and environment rather than solely by heredity (D).

4. During the second month of pregnancy, __________.

• A. the umbilical cord first appears as a primitive body stalk
• B. touch sensitivity extends to most of the body
• C. the heart develops separate chambers
• D. the heartbeat can be heard through a stethoscope

Correct answer: C

Rationale: During the second month of pregnancy, the heart of the developing fetus begins to develop separate chambers, forming the structure necessary for a fully functioning heart. This is a significant milestone in the prenatal development process. Choices A, B, and D are incorrect because the appearance of the umbilical cord as a primitive body stalk typically occurs around week 5-6, touch sensitivity extending to most of the body is more characteristic of the end of the second trimester, and the heartbeat is usually detectable through a stethoscope around the 18th to 20th week of pregnancy, not during the second month.

5. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

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