Nursing Elites

1. Men with even tiny amounts of dioxin in their bloodstream father __________.

• A. nearly twice as many girls as boys
• B. nearly three times as many boys as girls
• C. more twins and triplets than unaffected men
• D. fewer children than unaffected men

Correct answer: A

Rationale: Men with even tiny amounts of dioxin in their bloodstream father nearly twice as many girls as boys. This is due to the impact of dioxin exposure on sperm cells, leading to a skewed ratio of female to male offspring. Choice B is incorrect as the question specifically mentions that men father more girls than boys. Choice C is incorrect as dioxin exposure does not necessarily lead to more twins and triplets. Choice D is incorrect as men with dioxin in their bloodstream father more girls, not fewer children overall.

2. Vygotsky's emphasis on culture and social experience led him to __________.

• A. understand the interaction between biological factors and social influences in cognitive development
• B. overemphasize the role of heredity in cognitive change
• C. emphasize children's independent efforts to make sense of their world
• D. place too much emphasis on children's capacity to shape their own development

Correct answer: A

Rationale: Vygotsky's emphasis on culture and social experience did not lead him to neglect the biological side of development. Instead, he believed that biological factors and social influences interact to shape cognitive development. Choice A is correct because it reflects Vygotsky's view that biological factors and social experiences work together in cognitive development. Choices B, C, and D are incorrect as Vygotsky's emphasis was not on overemphasizing heredity, focusing solely on independent efforts of children, or placing too much emphasis on children's capacity to shape their own development.

3. 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.

4. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

5. During the second month of pregnancy, __________.

• A. the umbilical cord first appears as a primitive body stalk
• B. touch sensitivity extends to most of the body
• C. the heart develops separate chambers
• D. the heartbeat can be heard through a stethoscope

Correct answer: C

Rationale: During the second month of pregnancy, the heart of the developing fetus begins to develop separate chambers, forming the structure necessary for a fully functioning heart. This is a significant milestone in the prenatal development process. Choices A, B, and D are incorrect because the appearance of the umbilical cord as a primitive body stalk typically occurs around week 5-6, touch sensitivity extending to most of the body is more characteristic of the end of the second trimester, and the heartbeat is usually detectable through a stethoscope around the 18th to 20th week of pregnancy, not during the second month.

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