Nursing Elites

1. Ecological systems theory views the person as __________.

• A. a blossoming flower whose development is a genetically determined series of events that unfold automatically
• B. developing within a complex system of relationships affected by multiple levels of the surrounding environment
• C. a social being influenced primarily by observational learning or adult modeling
• D. a computer-like system that actively codes, transforms, and organizes information

Correct answer: B

Rationale: Ecological systems theory views the person as developing within a complex system of relationships affected by multiple levels of the surrounding environment. This perspective emphasizes the interconnectedness of individuals with their social and physical environment, recognizing that development is influenced by various factors interacting at different levels of the ecological system. Choice A is incorrect because it describes a genetically determined development process, which is not the focus of ecological systems theory. Choice C is incorrect because it highlights observational learning as the primary influence on development, neglecting the broader environmental factors. Choice D is incorrect as it compares the person to a computer system, which does not align with the principles of ecological systems theory.

2. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

3. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

4. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

5. By the end of Greta's first month of pregnancy, her embryo __________.

• A. can sense its world
• B. is about ¼ inch long
• C. can suck its thumb
• D. can curl its toes

Correct answer: B

Rationale: By the end of Greta's first month of pregnancy, her embryo is about ¼ inch long. During the first month of pregnancy, the embryo is in the very early stages of development, and its size is typically around ¼ inch as it continues to grow and develop in the uterus. Choices A, C, and D are incorrect because sensory abilities like sensing the world, sucking thumb, and curling toes develop later in the pregnancy as the embryo progresses through different stages of development.

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