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. If learning has occurred in classical conditioning, and the neutral stimulus by itself produces a response similar to the reflexive response, the neutral stimulus is then called a __________.

• A. neutral response
• B. conditioned stimulus
• C. conditioned response
• D. reinforcer

Correct answer: B

Rationale: In classical conditioning, when a neutral stimulus triggers the reflexive response, it becomes a conditioned stimulus. Therefore, the correct term for the neutral stimulus that now elicits a response is a conditioned stimulus. Choices A, C, and D are incorrect: A neutral response is not a standard term in classical conditioning; a conditioned response is the learned response to the conditioned stimulus, not the neutral stimulus itself; a reinforcer is a stimulus that follows a behavior and increases the likelihood of that behavior happening again, which is not the same as a conditioned stimulus.

3. During the second month of pregnancy, __________.

• A. the umbilical cord first appears as a primitive body stalk
• B. touch sensitivity extends to most of the body
• C. the heart develops separate chambers
• D. the heartbeat can be heard through a stethoscope

Correct answer: C

Rationale: During the second month of pregnancy, the heart of the developing fetus begins to develop separate chambers, forming the structure necessary for a fully functioning heart. This is a significant milestone in the prenatal development process. Choices A, B, and D are incorrect because the appearance of the umbilical cord as a primitive body stalk typically occurs around week 5-6, touch sensitivity extending to most of the body is more characteristic of the end of the second trimester, and the heartbeat is usually detectable through a stethoscope around the 18th to 20th week of pregnancy, not during the second month.

4. 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.

5. According to Jean Piaget, what is the balance between internal structures and information that children encounter in their everyday worlds?

• A. imitation
• B. adaptation
• C. cognition
• D. equilibrium

Correct answer: D

Rationale: According to Jean Piaget, equilibrium is the balance between what children already know (internal structures) and the new information they encounter. Imitation (choice A) is not directly related to this concept. Adaptation (choice B) involves adjusting to new information and is part of Piaget's theory, but it does not specifically refer to the balance between internal structures and external information. Cognition (choice C) is a broader term that encompasses mental processes, including thinking, learning, and problem-solving, but it is not specifically about the balance between internal structures and external information as equilibrium is.

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