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. Before the late 1800s, childbirth usually took place __________.

• A. at home and was a family-centered event
• B. at home, but away from other family members
• C. in a hospital with trained midwives
• D. in the home of a medical professional or in a hospital

Correct answer: A

Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.

3. Baby Gabriella claps her hands after her mother does. Gabriella is displaying __________.

• A. reinforcement
• B. classical conditioning
• C. observational learning
• D. adaptation

Correct answer: C

Rationale: Observational learning is when an individual learns by watching others and mimicking their actions or behaviors. In this scenario, Baby Gabriella claps her hands after her mother does, indicating she is learning through observing her mother's behavior and imitating it. The other choices are incorrect: Reinforcement typically involves a consequence that strengthens a behavior, classical conditioning is a type of learning where an association is made between two stimuli, and adaptation refers to the process of adjusting to new conditions.

4. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

5. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e

• A. endanger the newborn
• B. arouse the infant into alertness
• C. cause the cervix to thin and the uterine wall to contract
• D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.

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