Nursing Elites

1. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.

• A. probably easy to console
• B. susceptible to colic
• C. likely to spend less time in REM sleep
• D. unlikely to respond to swaddling

Correct answer: B

Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.

2. During adolescence, the young person's vision of self becomes __________.

• A. more inconsistent
• B. more well-organized
• C. less complex
• D. unbalanced

Correct answer: B

Rationale: During adolescence, self-concept becomes more organized and consistent as individuals integrate different aspects of their identity. This process involves understanding oneself better, recognizing strengths and weaknesses, and forming a more coherent sense of identity. Choices A, C, and D are incorrect because adolescence is typically a period of increased self-awareness and growth, leading to a more structured and integrated self-concept, rather than one that is inconsistent, less complex, or unbalanced.

3. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

4. To study the impact of biological aging on motor skills, researchers focus on __________.

• A. sedentary adults
• B. competitive athletes
• C. men in their mid- to late thirties
• D. women in their childbearing years

Correct answer: B

Rationale: The correct answer is B: competitive athletes. Competitive athletes are often studied by researchers to investigate the impact of biological aging on motor skills because their performance is closely linked to physical abilities. Sedentary adults (choice A) may not provide a clear understanding of the relationship between biological aging and motor skills as they may not engage in consistent physical activity. Men in their mid- to late thirties (choice C) and women in their childbearing years (choice D) may not represent a group where motor skills are as finely tuned and critical to performance as in competitive athletes.

5. 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.

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