Nursing Elites

1. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.

• A. lanugo
• B. corpus luteum
• C. vernix
• D. chorion

Correct answer: C

Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.

2. Breastfeeding for just a few weeks ________.

• A. is a rare practice among American women
• B. leads directly to later obesity
• C. is not helpful because, in the beginning, breastfeeding causes constipation
• D. offers some protection against respiratory and intestinal infections

Correct answer: D

Rationale: Breastfeeding for even a short period offers infants protection against respiratory and intestinal infections. Choice A is incorrect because breastfeeding is not a rare practice among American women. Choice B is incorrect as there is no direct link between breastfeeding for a few weeks and later obesity. Choice C is incorrect as breastfeeding does not cause constipation in infants; in fact, it can help prevent constipation.

3. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

4. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

5. Dr. Kostel believes that development takes place in stages. This belief is consistent with the __________ perspective.

• A. nurture
• B. continuous
• C. discontinuous
• D. nature

Correct answer: C

Rationale: Dr. Kostel's belief in stage-based development aligns with the discontinuous perspective, which sees development as a series of distinct stages. The continuous perspective (choice B) suggests development as a smooth and gradual process without distinct stages. The nature perspective (choice D) focuses on genetic and hereditary influences on development. The nurture perspective (choice A) emphasizes the impact of environment and upbringing on development, which is not directly related to the belief in stage-based development.

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