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. When children are research participants, __________.

• A. Investigators need to seek the opinion of others if in doubt about the harmful effects of research.
• B. They have the right to concealment of their identity on information collected in the course of research.
• C. There is a need to inform them or their parents of the results of the research.
• D. Informed consent of their parents as well as others who act on their behalf should be obtained.

Correct answer: D

Rationale: When children are research participants, it is essential to obtain informed consent from their parents or others who act on their behalf. This is to ensure that the child's rights and well-being are protected during the research process. Informed consent is a fundamental ethical principle in research involving children, as they may not have the capacity to fully understand the implications of their participation. Choice A is incorrect because seeking the opinion of others when in doubt about harmful effects is not a substitute for informed consent. Choice B is incorrect because children do not have an absolute right to conceal their identity in research, especially when it comes to ensuring their safety and well-being. Choice C is incorrect as it is important to inform children or their parents about the results of the research to maintain transparency and respect for their participation.

3. 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.

4. People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to __________ influences.

• A. age-graded
• B. history-graded
• C. nonnormative
• D. bio-historical Answer: B Page Ref: 9‒10 Skill Level: Remember Topic: The Lifespan Perspective: A Balanced Point of View Difficulty Level: Easy

Correct answer: B

Rationale: People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to history-graded influences. These influences refer to the events and conditions that are common to a particular historical era and can significantly shape the development and experiences of individuals who live through them. The post-World War II era, economic prosperity, and social changes during the baby boom period are examples of historical events that have had a lasting impact on this generation.

5. What is the most consistent asset of resilient children?

• A. a strong bond with a competent, caring adult
• B. high intelligence
• C. an easygoing temperament
• D. an association with a rule-abiding peer

Correct answer: A

Rationale: The most consistent asset of resilient children is a strong bond with a competent, caring adult. This relationship provides crucial support, guidance, and positive role modeling, fostering resilience in children. While intelligence (choice B) can be beneficial, it is not as consistently impactful as a supportive adult bond. An easygoing temperament (choice C) may help, but it is not as universally present in resilient children. Associating with rule-abiding peers (choice D) can be helpful, but the connection with a caring adult is more significant in promoting resilience.

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