Nursing Elites

1. Dana is pregnant with her first child and wonders how much weight she should gain during the pregnancy. You should recommend a healthy diet that results in a weight gain of __________ pounds.

• A. 10 to 15
• B. 15 to 20
• C. 25 to 30
• D. 35 to 40

Correct answer: C

Rationale: The recommended weight gain during pregnancy depends on the pre-pregnancy weight of the mother. For a woman with a normal pre-pregnancy BMI, the recommended weight gain is typically between 25 to 30 pounds. This range is considered healthy to support the growth and development of the baby while also maintaining the mother's health. Choices A, B, and D are incorrect as they represent weight gain ranges that are either too low or too high for a woman with a normal pre-pregnancy BMI, which could pose health risks for both the mother and the baby. It is crucial to adhere to healthcare professionals' guidelines to ensure a healthy pregnancy and birth outcome.

2. 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.

3. According to research on family chaos, mothers who __________ experience greater psychological stress.

• A. make family meals
• B. frequently multitask
• C. work outside the home
• D. cosleep with their infants

Correct answer: B

Rationale: According to research on family chaos, mothers who frequently multitask experience greater psychological stress. Multitasking can lead to increased stress levels as individuals juggle multiple responsibilities and tasks simultaneously, leading to a sense of being overwhelmed and unable to focus effectively. This can contribute to higher levels of psychological stress for mothers in particular, impacting their overall well-being. Choices A, C, and D are incorrect because the research specifically links frequent multitasking, not making family meals, working outside the home, or cosleeping with infants, to greater psychological stress among mothers.

4. The third stage of labor lasts about __________.

• A. 5 to 10 minutes
• B. 20 to 50 minutes
• C. 4 to 6 hours
• D. 12 to 14 hours

Correct answer: A

Rationale: The correct answer is A: 5 to 10 minutes. The third stage of labor typically lasts about 5 to 10 minutes. This stage begins after the baby is born and ends when the placenta is delivered. It is the shortest stage of labor compared to the first and second stages. Choice B, 20 to 50 minutes, is incorrect as it is too long for the duration of the third stage. Choice C, 4 to 6 hours, and Choice D, 12 to 14 hours, are also incorrect as they are significantly longer than the actual duration of the third stage of labor.

5. Theorists who contend that powerful negative events in the first few years cannot be fully overcome by later, more positive ones emphasize __________.

• A. plasticity
• B. stability
• C. nurture
• D. discontinuity

Correct answer: B

Rationale: Theorists who emphasize stability argue that powerful negative events early in life cannot be completely overcome by later, more positive experiences. They believe that early experiences have a lasting impact on development and are not easily erased or reversed by subsequent events. This perspective contrasts with the idea of plasticity, which suggests that development can be influenced by experiences at any point in life, and that individuals have the capacity for change and growth throughout the lifespan. 'Nurture' does not directly address the concept of overcoming negative events, while 'discontinuity' refers to developmental stages being separate and distinct, not the idea that negative events early in life persist despite later positive experiences.

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