Nursing Elites

1. Prenatally malnourished babies frequently __________.

• A. reject breast milk
• B. have enlarged hearts
• C. catch respiratory illnesses
• D. have a higher-than-average birth weight

Correct answer: C

Rationale: Prenatally malnourished babies frequently catch respiratory illnesses. Malnourished babies have weakened immune systems, making them more susceptible to illnesses such as respiratory infections. This is a common consequence that is observed in babies who did not receive adequate nutrition during the prenatal period. Choices A, B, and D are incorrect. While malnourished babies may have feeding challenges, rejecting breast milk is not a common consequence. Enlarged hearts are not typically associated with prenatal malnutrition, and having a higher-than-average birth weight is unlikely in malnourished babies.

2. A theory of development __________.

• A. illustrates the ultimate truth about human behavior
• B. describes, explains, and predicts behavior
• C. explains all aspects of human growth
• D. does not require scientific verification

Correct answer: B

Rationale: A theory of development describes, explains, and predicts behavior. It provides a framework for understanding how individuals grow and change over time. The purpose of a theory is not to illustrate ultimate truth or explain all aspects of human growth, but rather to help researchers and practitioners make sense of and predict human behavior. Theories are expected to be tested and refined through scientific verification. Choice A is incorrect because theories do not necessarily illustrate ultimate truth. Choice C is incorrect as theories focus on behavior and development, not all aspects of human growth. Choice D is incorrect because scientific verification is essential for theories to be valid and reliable.

3. 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.

4. Pregnant women are wise to avoid eating __________, which are heavily contaminated with __________.

• A. long-lived predatory fish; mercury
• B. freshwater fish; lead
• C. long-lived predatory fish; polychlorinated biphenyls
• D. freshwater fish; radiation

Correct answer: A

Rationale: Pregnant women are wise to avoid eating long-lived predatory fish, which are heavily contaminated with mercury. Mercury is a known teratogen, meaning it can negatively impact the development of the fetus and lead to birth defects. It is recommended that pregnant women choose fish with lower levels of mercury to reduce potential risks to the baby's health. Choices B, C, and D are incorrect because lead, polychlorinated biphenyls, and radiation are not typically found in fish at levels that pose significant risks to pregnant women and the developing fetus.

5. Babies who spend more time alert are likely to have __________.

• A. parents who feel incompetent
• B. a slight advantage in mental development
• C. a big disadvantage in social development
• D. parents who must exert great effort to soothe them

Correct answer: B

Rationale: Babies who spend more time alert are likely to have a slight advantage in mental development. Being alert allows babies to engage with their surroundings, explore, and learn, which can contribute to their cognitive development. This is different from social development, which is more related to interactions with others, and not necessarily impacted by the amount of alertness a baby displays. Choices A, C, and D are incorrect because there is no direct correlation between a baby's alertness and their parents' feelings of incompetence, a big disadvantage in social development, or the effort parents need to soothe them.

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