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. 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.

3. Lily weighed 8 pounds and was 21 inches long at birth. She was __________ than the average baby.

• A. heavier but shorter
• B. heavier and longer
• C. lighter but longer
• D. lighter and shorter

Correct answer: B

Rationale: Lily weighed 8 pounds and was 21 inches long at birth. Being both heavier and longer than average babies typically are at birth, Lily would be considered heavier and longer compared to the average baby. This makes choice B, 'heavier and longer,' the correct answer. Choices A, C, and D are incorrect because Lily was not shorter or lighter than the average baby at birth.

4. Pregnant women are wise to avoid eating __________, which are heavily contaminated with __________.

• A. long-lived predatory fish; mercury
• B. freshwater fish; lead
• C. long-lived predatory fish; polychlorinated biphenyls
• D. freshwater fish; radiation

Correct answer: A

Rationale: Pregnant women are wise to avoid eating long-lived predatory fish, which are heavily contaminated with mercury. Mercury is a known teratogen, meaning it can negatively impact the development of the fetus and lead to birth defects. It is recommended that pregnant women choose fish with lower levels of mercury to reduce potential risks to the baby's health. Choices B, C, and D are incorrect because lead, polychlorinated biphenyls, and radiation are not typically found in fish at levels that pose significant risks to pregnant women and the developing fetus.

5. When the blastocyst burrows deep into the uterine lining, __________.

• A. implantation occurs
• B. pregnancy does not occur
• C. it stops growing
• D. the cells of the zygote first duplicate

Correct answer: A

Rationale: When the blastocyst burrows deep into the uterine lining, this process is known as implantation. Implantation is a crucial step in the early stages of pregnancy where the blastocyst attaches to the uterine wall in order to receive nourishment and continue developing. Choice B is incorrect because implantation is a necessary step for pregnancy to occur. Choice C is incorrect as implantation marks the beginning of further growth and development. Choice D is incorrect as the duplication of cells occurs during earlier stages of development, not during implantation.

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