Nursing Elites

1. 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.

2. Erikson believed that successful resolution of intimacy versus isolation prepares the individual for the middle adulthood stage, which focuses on __________.

• A. initiative
• B. autonomy
• C. generativity
• D. industry

Correct answer: C

Rationale: Erikson's theory of psychosocial development highlights generativity as the central focus of middle adulthood. Generativity involves being productive, caring for others, and contributing to society. This stage is characterized by a desire to leave a lasting impact on future generations. Choices A, B, and D are incorrect. Initiative is associated with the preschool years, autonomy with early childhood, and industry with middle childhood according to Erikson's stages of development.

3. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

4. Dr. Wu observes children’s responses to bullying by watching them play in a park. This is an example of a(n) __________.

• A. ethnographic study
• B. naturalistic observation
• C. structured observation
• D. clinical interview Answer: B Page Ref: 28 Skill Level: Apply Topic: Studying Development Difficulty Level: Moderate

Correct answer: B

Rationale: Dr. Wu's observation of children's responses to bullying by watching them play in a park is an example of naturalistic observation. Naturalistic observation involves observing behavior in a natural setting without any manipulation or intervention. Dr. Wu is simply observing the children's behavior in a real-world setting to gain insights into how they respond to bullying, making it a naturalistic observation.

5. Why do young infants usually cry?

• A. because they are bored
• B. in shrill, piercing tones
• C. because of physical needs
• D. all night long

Correct answer: C

Rationale: Young infants usually cry because of physical needs such as hunger, discomfort, or needing to be changed. It is their way of communicating these needs to their caregivers as they are unable to do so in any other way. Choice A is incorrect because infants cry primarily to communicate physical needs, not because they are bored. Choice B is incorrect because the tone of the cry is not the reason why infants cry. Choice D is incorrect because infants cry for various physical needs, not necessarily all night long.

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