Nursing Elites

1. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

2. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

3. According to Erikson, the major personality attainment of adolescence is __________.

• A. trust
• B. identity
• C. autonomy
• D. intimacy

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, the major personality attainment of adolescence is identity. During adolescence, individuals go through a stage called 'Identity vs. Role Confusion,' where they explore different roles and develop a sense of self. Trust (choice A) is associated with the first stage of Erikson's theory, autonomy (choice C) is linked to the toddler stage, and intimacy (choice D) is a key aspect of the young adulthood stage.

4. One criticism of Freud's psychosexual theory was that it __________.

• A. did not apply to other cultures
• B. underemphasized the influence of sexual feelings
• C. compared human development to the evolution of the human species
• D. offered too narrow a view of important environmental influences

Correct answer: A

Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.

5. Who believed that complex mental activities have their origins in social interaction?

• A. Jean Piaget
• B. Renée Baillargeon
• C. Noam Chomsky
• D. Lev Vygotsky

Correct answer: D

Rationale: The correct answer is Lev Vygotsky. Vygotsky emphasized the role of social interaction and cultural tools in the development of higher cognitive functions. Jean Piaget focused more on individual cognitive development stages, Renée Baillargeon is known for her work in infant cognition and object permanence, and Noam Chomsky is renowned for his theories in linguistics and the study of language.

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