Nursing Elites

1. Brain growth is especially dramatic during __________, when the brain more than doubles in size.

• A. the first year
• B. the second year
• C. middle childhood
• D. adolescence

Correct answer: A

Rationale: Brain growth is especially dramatic during the first year of life when the brain more than doubles in size. This period is characterized by rapid neural development and growth. The brain doesn't double in size during the second year, making choice B incorrect. Middle childhood and adolescence do not represent periods where the brain more than doubles in size, making choices C and D incorrect, respectively.

2. Jalynn is in the last half of the first month of her pregnancy. Which of the following is developing the fastest?

• A. circulatory system
• B. endocrine system
• C. nervous system
• D. skin

Correct answer: C

Rationale: During the last half of the first month of pregnancy, the nervous system develops the fastest among the options provided. This rapid development of the nervous system is crucial for the overall growth and functioning of the fetus. The nervous system includes the brain and spinal cord, which are essential for various bodily functions and will continue to develop throughout the pregnancy. The circulatory system, although important, does not develop at the fastest rate during this stage. The endocrine system and skin also play significant roles in the development of the fetus but are not the systems that develop the fastest in the last half of the first month of pregnancy.

3. Lanugo ________.

• A. permits food and oxygen to reach the organism
• B. provides the fetus a cushion against jolts caused by the mother's movements
• C. helps regulate the fetus's body temperature
• D. helps the vernix stick to the skin

Correct answer: D

Rationale: Lanugo helps the vernix stick to the skin. Vernix is a waxy substance that covers the fetus's skin during pregnancy. Lanugo is a fine, downy hair that helps to anchor the vernix to the skin, providing protection and nourishment to the developing fetus. Choices A, B, and C are incorrect as they do not accurately describe the role of lanugo in prenatal development.

4. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

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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