Nursing Elites

1. Recent evidence suggests that paternal alcohol use around the time of conception __________.

• A. can alter gene expression
• B. can cause fetal alcohol syndrome
• C. is linked to blood vessel abnormalities
• D. has no negative effect on the developing organism

Correct answer: A

Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.

2. Spatial skills __________.

• A. increase exponentially in early childhood
• B. support children's improved executive function
• C. develop gradually over childhood and adolescence
• D. are typically housed in the left hemisphere

Correct answer: C

Rationale: Spatial skills develop gradually over childhood and adolescence, reflecting the increasing complexity of these abilities. Choice A is incorrect because spatial skills do not increase exponentially in early childhood but rather develop steadily. Choice B is incorrect as spatial skills are not directly linked to executive function. Choice D is incorrect because spatial skills are not typically housed in a specific hemisphere but involve a network of brain regions.

3. Unlike Jean Piaget, Lev Vygotsky viewed cognitive development as a _________ process.

• A. socially mediated
• B. genetically predictable
• C. preoperational
• D. neurological

Correct answer: A

Rationale: Lev Vygotsky viewed cognitive development as a socially mediated process, emphasizing the role of social interactions and cultural influences in shaping a child's cognitive development. This is in contrast to Jean Piaget, who focused more on individual interactions with the environment. Vygotsky believed that cognitive development is significantly influenced by social interactions with others, highlighting the importance of collaborative learning and cultural context. Choices B, C, and D are incorrect as they do not align with Vygotsky's perspective on cognitive development.

4. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

5. During the third stage of labor, __________.

• A. the cervix thins to nothing
• B. uterine contractions begin
• C. the placenta is delivered
• D. the baby is born

Correct answer: C

Rationale: During the third stage of labor, the correct answer is C, the placenta is delivered. This stage occurs after the baby is born and involves the expulsion of the placenta from the uterus. Choice A is incorrect because the thinning of the cervix to nothing typically occurs during the first stage of labor. Choice B is incorrect as uterine contractions usually begin during the first stage of labor to help with the dilation of the cervix. Choice D is incorrect because the baby is typically born in the second stage of labor, not the third.

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