Nursing Elites

1. In the last weeks of pregnancy, __________.

• A. the fetus usually loses weight
• B. most fetuses assume an upside-down position
• C. fetal growth increases dramatically
• D. the fetus relies on its own well-developed immune system

Correct answer: B

Rationale: In the last weeks of pregnancy, most fetuses assume an upside-down position known as the head-down position or vertex presentation. This position is ideal for a smoother labor and delivery process as it helps the baby move through the birth canal. Fetal growth has already slowed down at this stage, so option C is incorrect. Option A is inaccurate as the fetus typically gains weight in the final weeks. Option D is incorrect because the fetus relies on the mother's immune system while in the womb.

2. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

3. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

4. The lifespan perspective on human development assumes that development is __________.

• A. static and stable
• B. multidimensional and multidirectional
• C. continuous, rather than discontinuous
• D. largely the result of heredity

Correct answer: B

Rationale: The lifespan perspective on human development assumes that development is multidimensional and multidirectional. This means that development occurs in various domains (such as physical, cognitive, and psychosocial) and can involve gains and losses as individuals age. This perspective recognizes that human development is complex and dynamic, involving various factors and pathways over the course of a person's life. Choices A, C, and D are incorrect because human development is not static and stable (A), can involve both continuous and discontinuous changes (C), and is influenced by a combination of heredity and environment rather than solely by heredity (D).

5. 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.

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