Nursing Elites

1. Heaven was born several weeks before her due date. Although she was small, her birth weight was appropriate, based on time spent in the uterus. Heaven is a __________ infant.

• A. small-for-date
• B. small-for-weight
• C. mature
• D. preterm

Correct answer: D

Rationale: Heaven is a preterm infant because she was born early, but her weight is appropriate for the time she spent in the womb. Choice A, 'small-for-date,' is incorrect as it does not specifically indicate that the infant was born before the due date. Choice B, 'small-for-weight,' is incorrect because the infant's weight is appropriate for the gestational age. Choice C, 'mature,' is incorrect as it does not reflect the early birth of the infant.

2. As school-age children move into adolescence, self-concept is increasingly vested in feedback from __________.

• A. close friends
• B. family members
• C. younger children
• D. the inner self

Correct answer: A

Rationale: During adolescence, individuals start to rely more on feedback from close friends to develop their self-concept. Close friends play a significant role during this transitional period as they provide peer validation, support, and influence. Family members, although important, may not hold the same level of influence on self-concept during adolescence as close friends do. Younger children are unlikely to provide the necessary feedback and validation needed during this developmental stage. While self-reflection and understanding the inner self are vital for personal growth, during adolescence, external feedback from close friends tends to have a more pronounced impact on shaping self-concept.

3. The mother feels a natural urge to squeeze and push with her abdominal muscles during which stage of labor?

• A. first
• B. second
• C. third
• D. fourth

Correct answer: B

Rationale: The mother feels a natural urge to squeeze and push with her abdominal muscles during the second stage of labor. This stage occurs after the cervix is fully dilated and ends with the delivery of the baby. Choice A (first) is incorrect as the first stage is mainly characterized by the dilation of the cervix. Choice C (third) is incorrect as the third stage is the delivery of the placenta, and choice D (fourth) is incorrect as the fourth stage is the recovery period after childbirth.

4. According to Jean Piaget's cognitive-developmental theory, __________?

• A. children actively construct knowledge as they manipulate and explore their world
• B. children's learning depends on reinforcers, such as rewards from adults
• C. adult teaching is the best way to foster development
• D. rapid development occurs during sensitive periods

Correct answer: A

Rationale: According to Jean Piaget's cognitive-developmental theory, children actively construct knowledge as they manipulate and explore their world. Piaget emphasized that children learn through their own actions and interactions with the environment, leading to cognitive development. Choice B is incorrect because Piaget's theory focuses on children's active engagement in learning rather than passive reinforcement. Choice C is incorrect because Piaget's theory highlights the child's role in constructing knowledge, not solely relying on adult teaching. Choice D is incorrect as it refers to sensitive periods, a concept more associated with other developmental theories like Erikson's psychosocial theory, not Piaget's cognitive-developmental theory.

5. __________ supplementation early in pregnancy reduces the risk of abnormalities of the neural tube, the circulatory system, and the urinary tract.

• A. Vitamin A
• B. Folic acid
• C. Vitamin D
• D. Vitamin C

Correct answer: B

Rationale: Folic acid supplementation early in pregnancy is crucial as it reduces the risk of abnormalities in the developing fetus. It is specifically known to prevent issues related to the neural tube, circulatory system, and urinary tract. Vitamin A, Vitamin D, and Vitamin C do not play the same role as folic acid in preventing these specific birth defects, making them incorrect choices.

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