Nursing Elites

1. A combined Apgar score of __________ indicates that the infant is in good physical condition.

• A. less than 3
• B. 3 or 4
• C. 5 or 6
• D. 7 or better

Correct answer: D

Rationale: A combined Apgar score of 7 or better indicates that the infant is in good physical condition. The Apgar score is a quick assessment of a newborn's overall health shortly after birth. It evaluates the baby's heart rate, respiratory effort, muscle tone, reflexes, and color. A score of 7 or higher indicates that the baby is adjusting well to life outside the womb. Choices A, B, and C are incorrect as they represent scores that indicate the infant may need medical attention or assistance as they are below the threshold of 7 which signifies good physical condition.

2. If pregnancy does not occur, the corpus luteum shrinks, and the __________.

• A. cells begin to duplicate
• B. one-celled zygote multiplies and forms a blastocyst
• C. germinal period lasts only about two weeks
• D. lining of the uterus is discarded

Correct answer: D

Rationale: If pregnancy does not occur, the corpus luteum will shrink. As a result, the lining of the uterus is discarded through the process of menstruation. This shedding of the uterine lining is what causes menstrual bleeding. Choices A, B, and C are incorrect because they do not describe the physiological response of the body when pregnancy does not occur. The corpus luteum shrinking and the subsequent shedding of the uterine lining are part of the menstrual cycle, not processes related to cell duplication, zygote multiplication, or the duration of the germinal period.

3. Which statement about the human immunodeficiency virus (HIV) is true?

• A. About 30 percent of all new HIV infections affect women.
• B. In South Africa, 30 percent of all pregnant women are HIV-positive.
• C. About 30 percent of new HIV infections occur in developing countries.
• D. Untreated HIV-infected mothers pass the virus to the fetus 30 percent of the time.

Correct answer: B

Rationale: The correct answer is B: 'In South Africa, 30 percent of all pregnant women are HIV-positive.' This statement is true as South Africa has a high prevalence of HIV among pregnant women, emphasizing the need for interventions to prevent mother-to-child transmission. Choices A, C, and D are incorrect. Choice A is inaccurate as women account for more than 50% of new HIV infections globally. Choice C is misleading as the majority of new HIV infections actually occur in sub-Saharan Africa, not just developing countries. Choice D is also incorrect as without treatment, the risk of mother-to-child transmission is higher than 30%.

4. Today, Albert Bandura's theory stresses the importance of __________.

• A. behavior modification
• B. punishment
• C. cognition
• D. reinforcement

Correct answer: C

Rationale: Albert Bandura's theory emphasizes the role of cognition in learning through observation. It highlights the significance of mental processes such as attention, memory, and motivation in shaping behavior. Choice A, behavior modification, focuses more on changing specific behaviors through various techniques. Choice B, punishment, involves the application of negative consequences to reduce the likelihood of a behavior occurring. Choice D, reinforcement, centers on the use of rewards or punishments to increase or decrease the probability of a behavior.

5. One criticism of the information-processing approach is that it __________.

• A. underestimates the individual's contribution to his or her own development
• B. ignores transformation in adulthood, concluding that no major cognitive changes occur after adolescence
• C. underestimates the competencies of infants and preschoolers, focusing on older children and adolescents
• D. is better at analyzing thinking into its components than at putting them back together into a comprehensive theory

Correct answer: B

Rationale: The criticism that the information-processing approach ignores transformation in adulthood, concluding that no major cognitive changes occur after adolescence, suggests a limitation of the theory in not fully acknowledging that cognitive development continues throughout the lifespan. This criticism highlights a potential drawback of the approach in terms of its understanding of cognitive changes beyond adolescence. Choice A is incorrect because the criticism is not about underestimating the individual's contribution. Choice C is also incorrect as the criticism is not related to age-specific competencies. Choice D is incorrect as it focuses on a different aspect of the information-processing approach.

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