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. Which statement describes a limitation of the clinical method?

• A. It may not yield observations typical of participants’ behavior in everyday life.
• B. Researchers cannot control conditions under which participants are observed.
• C. The findings cannot be applied to individuals other than the participant.
• D. It does not usually yield rich, descriptive insights into factors that affect development. Answer: C Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate

Correct answer: C

Rationale: The statement that describes a limitation of the clinical method is that the findings cannot be applied to individuals other than the participant. The clinical method typically involves in-depth studies of individual participants, which may limit generalizability to a broader population. This means that the findings from a clinical study may not be applicable to other individuals who are not directly involved in the study.

3. Despite growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father, Betty is a successful, happy, and healthy adult. Betty's ability to adapt effectively in the face of threats to development is known as __________.

• A. assimilation
• B. resilience
• C. age-graded development
• D. multidimensional development

Correct answer: B

Rationale: Betty's ability to adapt effectively despite facing challenges during her childhood such as growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father demonstrates resilience. Resilience refers to the capacity to achieve positive outcomes despite adverse circumstances. Betty's successful, happy, and healthy adulthood showcases her resilience in navigating and overcoming the threats to her development. Choice A, assimilation, does not fit the context of adapting effectively to adverse circumstances. Assimilation is a cognitive process related to incorporating new information into existing schemas. Choice C, age-graded development, refers to typical developmental changes that occur in a culture at a particular age. Choice D, multidimensional development, encompasses the idea that development is influenced by multiple factors across various dimensions, which is not directly related to Betty's ability to adapt effectively despite facing challenges.

4. Recent evidence suggests that paternal alcohol use around the time of conception __________.

• A. can alter gene expression
• B. can cause fetal alcohol syndrome
• C. is linked to blood vessel abnormalities
• D. has no negative effect on the developing organism

Correct answer: A

Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.

5. It is difficult to isolate the precise damage caused by illegal drugs during pregnancy because __________.

• A. most drug-using mothers refuse to participate in teratology research
• B. the majority of babies born to drug-using mothers do not survive for more than a few days
• C. most drug-using mothers quit using illegal drugs during the first trimester of pregnancy
• D. drug users often take several drugs, display other high-risk behaviors, and suffer from other stresses

Correct answer: D

Rationale: The difficulty in isolating the precise damage caused by illegal drugs during pregnancy is due to the fact that drug users often take several drugs, display other high-risk behaviors, and suffer from other stresses. This makes it challenging to identify the specific impact of each individual factor on prenatal development. Choices A, B, and C are incorrect because they do not address the complexity of the situation involving drug users during pregnancy. Most drug-using mothers refusing to participate in teratology research, the majority of babies not surviving, or drug-using mothers quitting during the first trimester do not directly explain the difficulty in isolating the precise damage caused by illegal drugs during pregnancy.

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