Nursing Elites

1. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

2. Students who are foreign-born or first-generation Americans _______ than students of native-born parents.

• A. are more likely to commit delinquent and violent acts
• B. are more likely to be obese
• C. often achieve in school as well as or better
• D. tend to report lower self-esteem

Correct answer: C

Rationale: According to the information provided in the text box 'CULTURAL INFLUENCES: Immigrant Youths: Adapting to a New Land' on page 32, students who are foreign-born or first-generation Americans often achieve in school as well as or better than students of native-born parents. This implies that they excel academically despite facing challenges related to cultural adaptation and assimilation. Choices A, B, and D are incorrect because the provided information specifically highlights the academic achievement of foreign-born or first-generation American students compared to students of native-born parents, not their likelihood of committing delinquent acts, obesity rates, or self-esteem levels.

3. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

4. In an experimental study examining whether the way angry encounters end affects children's emotional reactions, the dependent variable would be the __________.

• A. way the angry encounters end
• B. amount of unresolved anger
• C. frequency of angry encounters
• D. children's emotional reactions

Correct answer: D

Rationale: In an experimental study examining whether the way angry encounters end affects children's emotional reactions, the dependent variable would be the children's emotional reactions. The dependent variable is the outcome being measured or tested in an experiment. In this study, the researchers are trying to understand how the way angry encounters end influences children's emotions. Therefore, the emotional reactions of the children would be the dependent variable that is being studied and measured in relation to the way angry encounters end. Choices A, B, and C are not the dependent variable in this scenario. While they may be related factors, the main focus of the study is on how the way angry encounters end impacts children's emotional reactions, making children's emotional reactions the dependent variable.

5. The immune response is the combined work of specialized cells that neutralize or destroy __________ in the body.

• A. T cells
• B. B cells
• C. telomeres
• D. antigens

Correct answer: D

Rationale: The correct answer is D, antigens. Antigens are substances recognized by the immune system as foreign, triggering an immune response to neutralize or destroy them. In this context, T cells and B cells are specialized cells of the immune system that respond to antigens, but they are not the substances being neutralized or destroyed. Telomeres, on the other hand, are protective structures at the end of chromosomes and are not targeted for neutralization or destruction by the immune system.

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