Nursing Elites

1. Which statement provides an example of an age-graded influence?

• A. Paul learned to play the violin at a young age.
• B. Jack enjoys hiking in the mountains.
• C. Sarah prefers reading mystery novels.
• D. Alex excels in mathematics.

Correct answer: A

Rationale: The corrected statement 'Paul learned to play the violin at a young age' provides an example of an age-graded influence. This is because learning to play the violin is a behavior that is typical or expected at a certain age, reflecting how age influences individuals' experiences and development. In contrast, choices B, C, and D do not directly relate to age-graded influences. Jack's enjoyment of hiking, Sarah's preference for reading mystery novels, and Alex's proficiency in mathematics are not inherently tied to age-related developmental influences.

2. The force of blood flowing through the __________ keeps it firm.

• A. amnion
• B. umbilical cord
• C. yolk sac
• D. embryonic disk

Correct answer: B

Rationale: The force of blood flowing through the umbilical cord keeps it firm. The umbilical cord is the connection between the placenta and the fetus, providing essential nutrients and oxygen to the developing baby. Blood flow through the umbilical cord helps maintain its structure and function throughout the prenatal period. Choices A, C, and D are incorrect as they do not play a role in providing nutrients and oxygen to the developing baby or in maintaining its firmness.

3. __________ 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.

4. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

5. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

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