Nursing Elites

1. Breastfeeding for just a few weeks ________.

• A. is a rare practice among American women
• B. leads directly to later obesity
• C. is not helpful because, in the beginning, breastfeeding causes constipation
• D. offers some protection against respiratory and intestinal infections

Correct answer: D

Rationale: Breastfeeding for even a short period offers infants protection against respiratory and intestinal infections. Choice A is incorrect because breastfeeding is not a rare practice among American women. Choice B is incorrect as there is no direct link between breastfeeding for a few weeks and later obesity. Choice C is incorrect as breastfeeding does not cause constipation in infants; in fact, it can help prevent constipation.

2. Although great diversity characterizes the interests and concerns of investigators who study development, they share a single goal: to identify __________.

• A. genetic factors that contribute to longevity
• B. environmental factors that contribute to disease and illness
• C. those factors that lead to abnormal development in children and adolescents
• D. those factors that influence consistencies and transformations in people from conception to death

Correct answer: D

Rationale: The correct answer is D because investigators who study development aim to identify the factors that influence consistencies and transformations in people from conception to death. This goal encompasses various domains such as physical, cognitive, emotional, and social development, highlighting the comprehensive nature of developmental research. Choices A, B, and C are incorrect as they do not align with the overarching goal of developmental researchers, which is to understand the factors influencing individuals throughout their lifespan, rather than focusing solely on genetic factors, environmental factors related to disease, or abnormal development in specific age groups.

3. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

4. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

5. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

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