Nursing Elites

1. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

2. According to psychosexual theory, what is crucial for healthy personality development?

• A. Children actively construct knowledge as they manipulate and explore the world.
• B. Directly observable events are the appropriate focus of psychological study.
• C. How parents manage their child's sexual and aggressive drives in the first few years.
• D. The ego makes a positive contribution to development, acquiring attitudes and skills.

Correct answer: C

Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.

3. In ecological systems theory, how does Toby's move just before entering fourth grade represent a significant change in his life?

• A. Microsystem
• B. Mesosystem
• C. Exosystem
• D. Chronosystem

Correct answer: D

Rationale: In ecological systems theory, the chronosystem refers to the dimension of time and how events and transitions over time can influence an individual's development. Toby's move just before entering fourth grade represents a significant change in his life that falls under the chronosystem. The microsystem involves the immediate environments and relationships that directly influence an individual, the mesosystem relates to connections between these environments, and the exosystem includes external settings that indirectly influence the individual, such as parents' workplaces. Therefore, Toby's move best exemplifies a change in the chronosystem due to the temporal influence on his development.

4. Like longitudinal research, cross-sectional studies can be threatened by __________.

• A. practice effects
• B. participant dropout
• C. sequential timing
• D. cohort effects

Correct answer: D

Rationale: Cross-sectional studies can be threatened by cohort effects because different age groups may have experienced different historical or social contexts, influencing the results. This disparity can lead to invalid comparisons between age groups, confounding the study's findings. Option A, practice effects, refer to changes in participants' behavior due to repeated testing, not a specific threat to cross-sectional studies. Participant dropout (Option B) is a threat related to attrition in longitudinal studies, not cross-sectional studies. Sequential timing (Option C) does not pose a threat to cross-sectional studies; instead, it refers to the order of tasks in a study design.

5. The harm done by teratogens __________.

• A. is straightforward and predictable
• B. is usually apparent at birth
• C. rarely goes beyond physical damage
• D. depends on age at the time of exposure

Correct answer: D

Rationale: The harm done by teratogens depends on the age at the time of exposure. This means that the effects may vary depending on the developmental stage of the fetus when exposed to the teratogen. Teratogens can have different impacts at different stages of pregnancy, leading to a range of potential outcomes in terms of physical and/or cognitive development. Choices A, B, and C are incorrect because the harm caused by teratogens is not straightforward, may not be apparent at birth, and can go beyond physical damage, affecting cognitive development as well.

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