Nursing Elites

1. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

2. In the eighth month of pregnancy, what typically happens?

• A. fetal growth doubles
• B. neuron production increases
• C. the eyes, ears, nose, jaw, and neck form
• D. lanugo typically is shed

Correct answer: D

Rationale: In the eighth month of pregnancy, lanugo typically is shed. Lanugo is the fine, downy hair that covers a fetus's body to help regulate body temperature while in the womb. By the eighth month, many fetuses shed this hair as they prepare for birth. Choices A, B, and C are incorrect because fetal growth doubling, neuron production increasing, and the formation of eyes, ears, nose, jaw, and neck occur in earlier stages of pregnancy, not specifically in the eighth month.

3. Before the late 1800s, childbirth usually took place __________.

• A. at home and was a family-centered event
• B. at home, but away from other family members
• C. in a hospital with trained midwives
• D. in the home of a medical professional or in a hospital

Correct answer: A

Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.

4. Although Justin spent his first 18 months in an orphanage, his adoptive mother believes that sensitive caregiving will help Justin overcome his early experiences. Justin's mother emphasizes the role of __________ in development.

• A. nurture
• B. stages
• C. stability
• D. nature

Correct answer: A

Rationale: The correct answer is A, nurture. Nurture refers to the environmental influences that shape behavior and development. In this scenario, Justin's adoptive mother believes that providing sensitive caregiving will override the negative effects of his early experiences in the orphanage, highlighting the importance of nurture in promoting healthy development. Choice B, stages, is incorrect as it refers to the sequence of developmental milestones individuals pass through. Choice C, stability, is incorrect as it pertains to the consistency of behavior or development over time. Choice D, nature, is incorrect as it relates to genetic and biological factors influencing development, which is not the focus of Justin's mother's beliefs.

5. Nine-month-old Avery can retrieve his ball when his mother hides it under a blanket. Avery has begun to master __________.

• A. the tertiary circular reaction
• B. reflexive schemes
• C. object permanence
• D. deferred imitation

Correct answer: C

Rationale: Avery demonstrating the ability to retrieve his ball hidden under a blanket indicates that he has started to understand object permanence. Object permanence is the concept that objects continue to exist even when they are out of sight. This milestone typically occurs around 8-12 months of age. The other choices are incorrect. Option A, the tertiary circular reaction, is related to Piaget's theory of sensorimotor development but does not specifically address object permanence. Reflexive schemes (Option B) refer to simple, reflex-like behaviors and are not directly linked to object permanence. Deferred imitation (Option D) involves the ability to imitate actions observed at an earlier time, which is a different developmental milestone compared to object permanence.

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