Nursing Elites

1. New evidence suggests that __________.

• A. there is very little cultural diversity in human development
• B. environmental, but not personal, contexts shape development
• C. development occurs in a neat, orderly sequence of stages unaffected by distinct contexts
• D. people not only are affected by but also contribute to the contexts in which they develop Answer: D Page Ref: 6 Skill Level: Understand Topic: Basic Issues Difficulty Level: Difficult

Correct answer: D

Rationale: The correct answer is D because the statement aligns with the concept of reciprocal influences in human development. The new evidence suggests that individuals are not only influenced by the contexts in which they develop but also contribute to shaping those contexts. This idea highlights the dynamic and interactive nature of human development, emphasizing the bidirectional relationship between individuals and their environments.

2. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

3. During Irina's first week of pregnancy, __________.

• A. heart muscles begin to develop
• B. the zygote multiplies and forms a blastocyst
• C. a primitive brain and spinal cord appear
• D. the embryo can move

Correct answer: B

Rationale: During the first week of pregnancy, the zygote (fertilized egg) undergoes rapid cell divisions and forms a blastocyst. This is a crucial stage where the cells differentiate and specialize, setting the foundation for the development of the embryo. It is during this time that the zygote implants itself into the uterine wall, initiating the process of pregnancy. Choices A, C, and D are incorrect because during the first week of pregnancy, the focus is on the initial development and multiplication of the zygote, not on the development of heart muscles, a primitive brain and spinal cord, or the embryo's ability to move.

4. 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.

5. 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.

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