Nursing Elites

1. Which country does not rank well on any key measure of children's health and well-being?

• A. Sweden
• B. Spain
• C. Australia
• D. The United States

Correct answer: D

Rationale: The United States is the correct answer as it ranks poorly in measures of children's health and well-being compared to other developed nations. According to the extract provided, the United States does not perform well in this aspect. Choices A, B, and C are incorrect as there is no information provided suggesting that Sweden, Spain, or Australia do not rank well on key measures of children's health and well-being.

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. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

4. Which research method was borrowed from the field of anthropology?

• A. ethnography
• B. clinical interview
• C. structured interview
• D. systematic observation

Correct answer: A

Rationale: The correct answer is A: ethnography. Ethnography is a research method borrowed from the field of anthropology. It involves observing and documenting behaviors and interactions in a naturalistic setting. This method allows researchers to gain insight into the cultural context and practices of a group through direct observation and participation. Choices B, C, and D are incorrect because clinical interviews, structured interviews, and systematic observations are research methods used in different contexts and fields, not borrowed specifically from anthropology.

5. Mounting evidence suggests that __________ is a major contributor to SIDS.

• A. impaired brain functioning
• B. higher-than-average birth weight
• C. organized and patterned sleep behavior
• D. a family history of chromosomal abnormalities

Correct answer: A

Rationale: Impaired brain functioning is a major contributor to Sudden Infant Death Syndrome (SIDS). Research has shown that abnormalities in the brainstem, which controls automatic functions like breathing and heart rate, can play a role in SIDS cases. As such, mounting evidence suggests that compromised brain functioning is a significant factor in the occurrence of SIDS. Choices B, C, and D are incorrect. Higher-than-average birth weight, organized and patterned sleep behavior, and a family history of chromosomal abnormalities are not identified as major contributors to SIDS according to the provided information.

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