Nursing Elites

1. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

2. Jalynn is in the last half of the first month of her pregnancy. Which of the following is developing the fastest?

• A. circulatory system
• B. endocrine system
• C. nervous system
• D. skin

Correct answer: C

Rationale: During the last half of the first month of pregnancy, the nervous system develops the fastest among the options provided. This rapid development of the nervous system is crucial for the overall growth and functioning of the fetus. The nervous system includes the brain and spinal cord, which are essential for various bodily functions and will continue to develop throughout the pregnancy. The circulatory system, although important, does not develop at the fastest rate during this stage. The endocrine system and skin also play significant roles in the development of the fetus but are not the systems that develop the fastest in the last half of the first month of pregnancy.

3. Shamona, a pregnant mother in Flint, Michigan, is concerned about the drinking water, which shows high levels of lead. Shamona should know that high levels of prenatal lead exposure are related to __________.

• A. facial abnormalities and heart defects
• B. defects of the genitals and urinary tract
• C. low birth weight and brain damage
• D. a variety of childhood cancers

Correct answer: C

Rationale: High levels of prenatal lead exposure are related to low birth weight and brain damage. Lead exposure during pregnancy can have harmful effects on the developing fetus, leading to complications such as decreased birth weight and potential long-term brain damage. Choices A, B, and D are incorrect because they do not directly correlate with the known effects of prenatal lead exposure. While lead exposure can indeed cause a variety of health issues, such as heart defects and urinary tract problems, the primary concerns related to prenatal exposure are low birth weight and brain damage.

4. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

5. Which statement describes a limitation of the clinical method?

• A. It may not yield observations typical of participants’ behavior in everyday life.
• B. Researchers cannot control conditions under which participants are observed.
• C. The findings cannot be applied to individuals other than the participant.
• D. It does not usually yield rich, descriptive insights into factors that affect development. Answer: C Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate

Correct answer: C

Rationale: The statement that describes a limitation of the clinical method is that the findings cannot be applied to individuals other than the participant. The clinical method typically involves in-depth studies of individual participants, which may limit generalizability to a broader population. This means that the findings from a clinical study may not be applicable to other individuals who are not directly involved in the study.

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