Nursing Elites

1. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.

• A. lanugo
• B. corpus luteum
• C. vernix
• D. chorion

Correct answer: C

Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.

2. What is a major strength of the clinical interview?

• A. Makes comparing individuals' responses very easy
• B. Can provide a large amount of information in a fairly brief period
• C. Is directed toward understanding a culture or distinct social group
• D. Allows researchers to see the behavior of interest as it occurs in natural settings

Correct answer: B

Rationale: The major strength of the clinical interview is that it can provide a large amount of information in a fairly brief period. This allows researchers to gather detailed data about an individual's thoughts, feelings, and behaviors efficiently. Choice A is incorrect because the clinical interview focuses on gathering information from individuals rather than comparing their responses. Choice C is incorrect as clinical interviews are primarily aimed at understanding individuals rather than cultures or social groups. Choice D is incorrect as it describes a strength of naturalistic observations, not clinical interviews.

3. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

4. When __________, newborn Takeo's toes should fan out and curl as his foot twists in.

• A. a bright light shines in his eyes
• B. his bare foot touches a flat surface
• C. his cheek is stroked near the corner of his mouth
• D. the sole of his foot is stroked from toe to heel

Correct answer: D

Rationale: The correct answer is D because the description of the twisting and fanning out of newborn Takeo's toes suggests the Babinski reflex, which is typically elicited by stroking the sole of the foot from toe to heel. The Babinski reflex is a normal response in newborns and indicates proper neurological development. Choices A, B, and C are incorrect as they do not elicit the specific response described in the question.

5. __________ is the least-developed of the newborn baby’s senses.

• A. Taste
• B. Sound
• C. Vision
• D. Touch Answer: C Page Ref: 109 Skill Level: Remember Topic: The Newborn Baby’s Capacities Difficulty Level: Easy

Correct answer: C

Rationale: Vision is the least-developed of the newborn baby's senses. Newborns have limited visual acuity and are not able to focus clearly on objects. Over time, their vision will improve as they grow and develop.

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