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. It is difficult to isolate the precise damage caused by illegal drugs during pregnancy because __________.

• A. most drug-using mothers refuse to participate in teratology research
• B. the majority of babies born to drug-using mothers do not survive for more than a few days
• C. most drug-using mothers quit using illegal drugs during the first trimester of pregnancy
• D. drug users often take several drugs, display other high-risk behaviors, and suffer from other stresses

Correct answer: D

Rationale: The difficulty in isolating the precise damage caused by illegal drugs during pregnancy is due to the fact that drug users often take several drugs, display other high-risk behaviors, and suffer from other stresses. This makes it challenging to identify the specific impact of each individual factor on prenatal development. Choices A, B, and C are incorrect because they do not address the complexity of the situation involving drug users during pregnancy. Most drug-using mothers refusing to participate in teratology research, the majority of babies not surviving, or drug-using mothers quitting during the first trimester do not directly explain the difficulty in isolating the precise damage caused by illegal drugs during pregnancy.

3. Fraternal twins are ____________.

• A. genetically identical
• B. no more alike than ordinary siblings
• C. less common than other types of multiple offspring
• D. less likely with each additional birth

Correct answer: B

Rationale: The correct answer is B. Fraternal twins are no more alike than ordinary siblings because they share about 50% of their genes, just like other siblings. Choice A is incorrect as fraternal twins are not genetically identical. Choice C is incorrect as fraternal twins are actually the most common type of multiple offspring. Choice D is incorrect as the likelihood of fraternal twins is not affected by the number of births a mother has had.

4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

5. According to Jean Piaget, what is the balance between internal structures and information that children encounter in their everyday worlds?

• A. imitation
• B. adaptation
• C. cognition
• D. equilibrium

Correct answer: D

Rationale: According to Jean Piaget, equilibrium is the balance between what children already know (internal structures) and the new information they encounter. Imitation (choice A) is not directly related to this concept. Adaptation (choice B) involves adjusting to new information and is part of Piaget's theory, but it does not specifically refer to the balance between internal structures and external information. Cognition (choice C) is a broader term that encompasses mental processes, including thinking, learning, and problem-solving, but it is not specifically about the balance between internal structures and external information as equilibrium is.

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