Nursing Elites

1. During pregnancy, the placenta __________.

• A. forms in the second trimester of pregnancy
• B. encloses the developing organism in amniotic fluid
• C. contains one large vein that delivers nutrients to the embryo
• D. delivers food and oxygen to the developing organism

Correct answer: D

Rationale: The placenta delivers food and oxygen to the developing organism during pregnancy. It is a temporary organ that forms in the first trimester of pregnancy. Choice A is incorrect as the placenta forms in the first trimester, not the second trimester. Choice B is incorrect as the amniotic sac, not the placenta, encloses the developing organism in amniotic fluid. Choice C is incorrect as the placenta contains blood vessels (arteries and veins) that deliver nutrients to the embryo, not just one large vein.

2. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

3. 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.

4. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

5. 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.

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