Nursing Elites

1. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

2. By the end of Greta's first month of pregnancy, her embryo __________.

• A. can sense its world
• B. is about ¼ inch long
• C. can suck its thumb
• D. can curl its toes

Correct answer: B

Rationale: By the end of Greta's first month of pregnancy, her embryo is about ¼ inch long. During the first month of pregnancy, the embryo is in the very early stages of development, and its size is typically around ¼ inch as it continues to grow and develop in the uterus. Choices A, C, and D are incorrect because sensory abilities like sensing the world, sucking thumb, and curling toes develop later in the pregnancy as the embryo progresses through different stages of development.

3. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

4. __________ theory was the first to stress the influence of the early parent‒child relationship on development.

• A. Darwin’s
• B. Freud’s
• C. Erikson’s
• D. Watson’s Answer: B Page Ref: 15 Skill Level: Remember Topic: Mid-Twentieth-Century Theories Difficulty Level: Easy

Correct answer: B

Rationale: Freud's theory was the first to stress the influence of the early parent‒child relationship on development. Sigmund Freud's psychoanalytic theory emphasized the importance of the child's interactions with caregivers, particularly during the early stages of development, in shaping personality and behavior.

5. Central to Piaget's theory is the concept of __________.

• A. imitation
• B. adaptation
• C. self-efficacy
• D. scaffolding

Correct answer: B

Rationale: Central to Piaget's theory is the concept of adaptation, which refers to the process by which individuals adjust to new information and experiences by modifying their existing cognitive structures. Piaget believed that this process of adaptation involved two key components: assimilation, where individuals incorporate new information into their existing schemas, and accommodation, where individuals adjust their schemas to fit new information. This concept highlights the dynamic nature of cognitive development and the importance of interaction between individuals and their environment in shaping intellectual growth. Choice A, 'imitation,' is incorrect as Piaget's theory focuses on how individuals actively construct their understanding of the world through their interactions with it, rather than simply imitating others. Choice C, 'self-efficacy,' is not the central concept in Piaget's theory; self-efficacy is a concept from Bandura's social cognitive theory. Choice D, 'scaffolding,' is associated with Vygotsky's sociocultural theory, not Piaget's theory.

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