Nursing Elites

1. What are the most obvious organized patterns of behavior in a newborn baby?

• A. Reflexes
• B. States of arousal
• C. Shrill cries
• D. Sleep patterns

Correct answer: A

Rationale: The correct answer is A: Reflexes. Reflexes are automatic, involuntary responses to specific stimuli and are the most obvious organized patterns of behavior in a newborn baby. Examples of newborn reflexes include sucking, rooting, grasping, and the Moro reflex. These reflexes are crucial for the newborn's survival and overall development. Choice B, states of arousal, refers to different levels of consciousness and responsiveness, not organized behavior patterns. Choice C, shrill cries, is a form of communication and not an organized behavior pattern. Choice D, sleep patterns, while important for newborns, are not the most obvious organized behavior patterns.

2. What increases from early to middle adulthood?

• A. Possible selves
• B. Self-doubt
• C. Destructiveness
• D. Autonomy

Correct answer: A

Rationale: Possible selves are ideas about what one might become in the future, which increase during the transition from early to middle adulthood. This period is characterized by individuals exploring and considering different potential future selves. Self-doubt (choice B) typically decreases as individuals become more confident and self-assured in middle adulthood. Destructiveness (choice C) is not a common developmental trend during this period. Autonomy (choice D) is a concept related to independence and self-governance, which may develop over a person's lifespan but does not specifically increase during the transition from early to middle adulthood.

3. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

4. Which mother is most likely to have had inadequate prenatal care?

• A. Lupe, age 25
• B. Marissa, age 32
• C. Rotunda, age 16
• D. Janette, age 40

Correct answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

5. 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.

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