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. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

3. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

4. At Kohlberg's Stage __________, individuals can imagine alternatives to their own social order, and they emphasize fair procedures for interpreting and changing the law.

• A. 3, the 'good boy/good girl' orientation
• B. 4, the social-order-maintaining orientation
• C. 5, the social contract orientation
• D. 6, the universal ethical principle orientation

Correct answer: C

Rationale: The correct answer is C: '5, the social contract orientation.' At Kohlberg's Stage 5, individuals begin to question their own social order and focus on principles of justice and fairness. This stage emphasizes the importance of social contracts and agreements based on mutual benefit. Choice A is incorrect as the 'good boy/good girl' orientation is characteristic of Stage 3. Choice B, the social-order-maintaining orientation, does not align with the description provided in the question. Choice D, the universal ethical principle orientation, is associated with Stage 6, where individuals act based on self-chosen ethical principles.

5. The __________ reflex helps a newborn find the nipple.

• A. rooting
• B. Moro
• C. Babinski
• D. tonic neck Answer: A Page Ref: 101 Skill Level: Understand Topic: The Newborn Baby’s Capacities Difficulty Level: Moderate

Correct answer: A

Rationale: The rooting reflex is the correct answer. This reflex helps a newborn baby find the nipple by turning their head and opening their mouth when their cheek is stroked or touched. This is crucial for the baby to locate and latch onto the mother's breast for feeding. The rooting reflex typically disappears around 4 months of age.

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