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. Breastfeeding for just a few weeks ________.

• A. is a rare practice among American women
• B. leads directly to later obesity
• C. is not helpful because, in the beginning, breastfeeding causes constipation
• D. offers some protection against respiratory and intestinal infections

Correct answer: D

Rationale: Breastfeeding for even a short period offers infants protection against respiratory and intestinal infections. Choice A is incorrect because breastfeeding is not a rare practice among American women. Choice B is incorrect as there is no direct link between breastfeeding for a few weeks and later obesity. Choice C is incorrect as breastfeeding does not cause constipation in infants; in fact, it can help prevent constipation.

3. 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.

4. The influence of situational factors on moral judgments indicates that like Piaget's cognitive stages, Kohlberg's moral stages are __________.

• A. predictable and universal
• B. highly organized and sequential
• C. attained in a neat, stepwise fashion
• D. loosely organized and overlapping

Correct answer: D

Rationale: The correct answer is D. Kohlberg's moral stages are not strictly sequential but rather overlap and are more fluid, much like Piaget's cognitive stages. Choices A, B, and C are incorrect because Kohlberg's stages do not follow a neat, predictable, or highly organized pattern, as they can be revisited and experienced in varying orders.

5. Dr. Singh believes that a basic psychosocial conflict, which is resolved along a continuum from positive to negative, determines healthy or maladaptive outcomes at each stage of development. Dr. Singh's beliefs are aligned with those of which theorist?

• A. G. Stanley Hall
• B. Sigmund Freud
• C. Erik Erikson
• D. B. F. Skinner

Correct answer: C

Rationale: Dr. Singh's beliefs align with Erik Erikson's psychosocial theory of development. Erikson proposed that individuals go through a series of psychosocial stages, with each stage characterized by a basic conflict that must be resolved to achieve healthy development. This conflict is resolved along a continuum from positive to negative outcomes. Choice A, G. Stanley Hall, is incorrect as his work focused on adolescence and evolutionary psychology. Choice B, Sigmund Freud, is incorrect as his psychoanalytic theory is more focused on the unconscious mind and psychosexual stages. Choice D, B. F. Skinner, is incorrect as he is associated with behaviorism and operant conditioning, which is different from Erikson's psychosocial theory.

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