Nursing Elites

1. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

2. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?

• A. The death of a spouse causes a decline in the surviving partner's physical health.
• B. The death of a spouse is related to a decline in the surviving partner's physical health.
• C. A decline in a surviving partner's physical health can cause the death of a spouse.
• D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.

Correct answer: B

Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.

3. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

4. When faced with a problem, Sydney starts with a hypothesis, deduces testable inferences, and isolates and combines variables to see which inferences are confirmed. Sydney is in Piaget's __________ stage of development.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: D

Rationale: Sydney's approach of starting with a hypothesis, deducing testable inferences, and isolating and combining variables to confirm inferences aligns with the characteristics of the formal operational stage in Piaget's theory of cognitive development. This stage typically emerges during adolescence and is characterized by advanced logical thinking, abstract reasoning, and the ability to think systematically about all possible outcomes of a problem. Choice A, sensorimotor, is incorrect as it pertains to the stage where infants learn through sensory experiences and motor actions. Choice B, preoperational, is incorrect as it involves egocentrism and lack of conservation. Choice C, concrete operational, is incorrect as it focuses on operational thought and logical reasoning in concrete contexts.

5. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

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