Nursing Elites

1. In all societies studied, the most common attachment quality is the __________ pattern.

• A. insecure-avoidant
• B. insecure-resistant
• C. disorganized/disoriented
• D. secure

Correct answer: D

Rationale: The correct answer is D, 'secure.' Research shows that the secure attachment pattern is the most common across various societies. In this pattern, children feel safe, secure, and loved, allowing them to explore the world and seek comfort from their caregivers when needed. Choices A, B, and C are incorrect because while these attachment patterns exist, they are not as prevalent or universal as the secure attachment pattern. Insecure-avoidant attachment involves children avoiding or ignoring their caregiver, insecure-resistant attachment consists of ambivalence and mixed emotions towards the caregiver, and disorganized/disoriented attachment is characterized by inconsistent and often chaotic behaviors towards the caregiver.

2. An inadequate diet during pregnancy can __________.

• A. lead to higher birth weight and greater brain weight
• B. reduce the risk of pregnancy-induced maternal diabetes
• C. distort the structure of the liver, kidney, and pancreas
• D. lead to fewer physical discomforts in the final weeks Answer: C Page Ref: 88 Skill Level: Understand Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: An inadequate diet during pregnancy can lead to the distortion of the structure of the liver, kidney, and pancreas in the developing fetus. Proper nutrition during pregnancy is crucial for the healthy development of these organs and essential for the overall well-being of the baby. A balanced diet supports optimal growth and development, while inadequate nutrition can have detrimental effects on the baby's organs and long-term health.

3. Swaddling newborns __________.

• A. increases crying
• B. hinders early motor development
• C. promotes an insecure attachment relationship
• D. restricts movement and increases warmth

Correct answer: D

Rationale: Swaddling newborns restricts their movement by wrapping them snugly in a blanket, which helps to mimic the feeling of security they had in the womb. It also helps to maintain their warmth and can promote better sleep patterns. Choices A, B, and C are incorrect because swaddling does not increase crying, hinder early motor development, or promote an insecure attachment relationship. Instead, it provides comfort, warmth, and a sense of security for newborns.

4. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

5. 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.

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