Nursing Elites

1. __________ doubles the risk of SIDS.

• A. Failure to tightly swaddle an infant during sleep
• B. Use of a pacifier or a security blanket
• C. Placing an infant to sleep on his back
• D. Cigarette smoking by a caregiver Answer: D Page Ref: 106 Box: BIOLOGY AND ENVIRONMENT: The Mysterious Tragedy of Sudden Infant Death Syndrome Skill Level: Understand Topic: The Newborn Baby’s Capacities Difficulty Level: Moderate

Correct answer: D

Rationale: Cigarette smoking by a caregiver doubles the risk of SIDS. Secondhand smoke exposure can increase the likelihood of SIDS due to the toxins and chemicals present in cigarette smoke. It is important to have a smoke-free environment for infants to reduce the risk of SIDS.

2. Dana is pregnant with her first child and wonders how much weight she should gain during the pregnancy. You should recommend a healthy diet that results in a weight gain of __________ pounds.

• A. 10 to 15
• B. 15 to 20
• C. 25 to 30
• D. 35 to 40

Correct answer: C

Rationale: The recommended weight gain during pregnancy depends on the pre-pregnancy weight of the mother. For a woman with a normal pre-pregnancy BMI, the recommended weight gain is typically between 25 to 30 pounds. This range is considered healthy to support the growth and development of the baby while also maintaining the mother's health. Choices A, B, and D are incorrect as they represent weight gain ranges that are either too low or too high for a woman with a normal pre-pregnancy BMI, which could pose health risks for both the mother and the baby. It is crucial to adhere to healthcare professionals' guidelines to ensure a healthy pregnancy and birth outcome.

3. Where does the male produce sperm, and where are these glands located?

• A. penis; scrotum
• B. scrotum; penis
• C. testes; penis
• D. testes; scrotum

Correct answer: D

Rationale: The male produces sperm in the testes, which are two glands located in the scrotum. The scrotum is the external sac that houses and protects the testes, allowing for optimal temperature regulation to support sperm production. Choice A is incorrect because sperm production does not occur in the penis. Choice B is incorrect because the scrotum houses the testes, not the penis. Choice C is incorrect because sperm is produced in the testes, not the penis.

4. 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.

5. When Reggie takes his baby son, Tyson, to his workplace for the first time, Reggie's assistant abruptly picks Tyson up and walks around the office. Tyson cries and reaches out for Reggie. Tyson is expressing __________.

• A. sadness
• B. stranger anxiety
• C. separation anxiety
• D. disgust

Correct answer: B

Rationale: Tyson is experiencing stranger anxiety in this situation. Stranger anxiety is a common response in infants when they are exposed to unfamiliar people, causing distress and prompting the infant to seek comfort and familiarity, usually from their primary caregiver. This aligns with Tyson crying and reaching out for Reggie, as he is showing signs of discomfort and wariness towards the assistant, who is a stranger to him. Choice A, sadness, does not fit the scenario as Tyson's reaction is more related to fear and discomfort rather than sorrow. Choice C, separation anxiety, is not the correct answer in this context as separation anxiety pertains to distress when separated from a primary caregiver, not when encountering unfamiliar individuals. Choice D, disgust, is also not applicable as Tyson's behavior is not based on revulsion but rather on being in an unfamiliar and distressing situation.

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