Nursing Elites

1. Ethnographies reveal that immigrant parents view __________ as the surest way to improve life chances.

• A. learning English
• B. education
• C. close ties to an ethnic community
• D. moving into an urban area

Correct answer: B

Rationale: Ethnographies reveal that immigrant parents prioritize education as the surest way to improve life chances for their children. While learning English is important for integration, education is considered the key for better opportunities and success in the long term. Close ties to an ethnic community can provide support but may not directly lead to improved life chances. Moving into an urban area is not highlighted in the context of immigrant parents' views on improving life chances through their children's development.

2. Shamona, a pregnant mother in Flint, Michigan, is concerned about the drinking water, which shows high levels of lead. Shamona should know that high levels of prenatal lead exposure are related to __________.

• A. facial abnormalities and heart defects
• B. defects of the genitals and urinary tract
• C. low birth weight and brain damage
• D. a variety of childhood cancers

Correct answer: C

Rationale: High levels of prenatal lead exposure are related to low birth weight and brain damage. Lead exposure during pregnancy can have harmful effects on the developing fetus, leading to complications such as decreased birth weight and potential long-term brain damage. Choices A, B, and D are incorrect because they do not directly correlate with the known effects of prenatal lead exposure. While lead exposure can indeed cause a variety of health issues, such as heart defects and urinary tract problems, the primary concerns related to prenatal exposure are low birth weight and brain damage.

3. According to Erikson, if the psychological conflict of adolescence is resolved negatively, a young person experiences __________.

• A. mistrust
• B. isolation
• C. inferiority
• D. role confusion

Correct answer: D

Rationale: Erikson's theory of psychosocial development states that during adolescence, individuals face the conflict of identity vs. role confusion. If this conflict is resolved negatively, adolescents experience role confusion. Role confusion occurs when adolescents fail to develop a clear sense of identity, leading to uncertainty about their future roles. Choices A, B, and C are incorrect because they correspond to earlier stages of Erikson's stages of psychosocial development (mistrust corresponds to infancy, isolation to early adulthood, and inferiority to middle childhood), not adolescence.

4. 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.

5. The embryonic disk __________.

• A. becomes the new organism
• B. is the outer ring of cells on a blastocyst
• C. has a good chance of survival outside the womb
• D. is a protective membrane that surrounds the amnion Answer: A Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: The embryonic disk becomes the new organism. It is a cluster of cells within the blastocyst that will develop into the fetus during the early stages of prenatal development. This cluster of cells is responsible for giving rise to all the tissues and organs of the developing organism.

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