Nursing Elites

1. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?

• A. Chloe, a Caucasian American
• B. Latima, an African American
• C. Yvonne, a Native American
• D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.

2. Development is best understood as __________.

• A. genetically determined
• B. environmentally influenced
• C. an unsolvable puzzle
• D. a series of complex exchanges between nature and nurture

Correct answer: D

Rationale: The correct answer is D. Development is best understood as a series of complex exchanges between nature (genetic factors) and nurture (environmental influences). This perspective emphasizes the interaction and interplay between genetic predispositions and environmental experiences in shaping an individual's development. Choices A and B are too extreme as they suggest that development is solely determined by genetics or solely influenced by the environment, which is not the case. Choice C is incorrect as development is not viewed as an unsolvable puzzle but rather as a dynamic process influenced by multiple factors.

3. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.

• A. probably easy to console
• B. susceptible to colic
• C. likely to spend less time in REM sleep
• D. unlikely to respond to swaddling

Correct answer: B

Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.

4. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

5. During prenatal development, the ectoderm becomes the __________.

• A. muscles and skeleton
• B. nervous system and skin
• C. circulatory system and other internal organs
• D. digestive system, lungs, urinary tract, and glands

Correct answer: B

Rationale: The correct answer is B: nervous system and skin. The nervous system, which includes the brain, spinal cord, and nerves, as well as the skin, develop from the ectoderm layer of cells during prenatal development. Choice A is incorrect because muscles and skeleton develop from mesoderm. Choice C is incorrect because the circulatory system and other internal organs develop from mesoderm and endoderm. Choice D is incorrect because the digestive system, lungs, urinary tract, and glands develop from endoderm.

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