Nursing Elites

1. Fraternal twins are ____________.

• A. genetically identical
• B. no more alike than ordinary siblings
• C. less common than other types of multiple offspring
• D. less likely with each additional birth

Correct answer: B

Rationale: The correct answer is B. Fraternal twins are no more alike than ordinary siblings because they share about 50% of their genes, just like other siblings. Choice A is incorrect as fraternal twins are not genetically identical. Choice C is incorrect as fraternal twins are actually the most common type of multiple offspring. Choice D is incorrect as the likelihood of fraternal twins is not affected by the number of births a mother has had.

2. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

3. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

4. The most rapid prenatal changes take place in the period of the __________.

• A. zygote
• B. blastocyst
• C. embryo
• D. fetus

Correct answer: C

Rationale: The correct answer is C: embryo. The most rapid prenatal changes occur during the embryo stage, which spans from approximately 2 to 8 weeks after conception. This period is crucial as major organs and systems of the body develop rapidly, laying the foundation for future growth and development. The zygote stage is the initial single-celled entity formed by the union of sperm and egg, while the blastocyst stage involves the cluster of cells resulting from the zygote dividing and growing. The fetus stage follows the embryo stage and focuses on refining and growing existing structures rather than rapid development. Therefore, the embryo stage is where the most significant and rapid changes take place in prenatal development.

5. 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.

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