Nursing Elites

1. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

2. If pregnancy does not occur, the corpus luteum shrinks, and the __________.

• A. cells begin to duplicate
• B. one-celled zygote multiplies and forms a blastocyst
• C. germinal period lasts only about two weeks
• D. lining of the uterus is discarded

Correct answer: D

Rationale: If pregnancy does not occur, the corpus luteum will shrink. As a result, the lining of the uterus is discarded through the process of menstruation. This shedding of the uterine lining is what causes menstrual bleeding. Choices A, B, and C are incorrect because they do not describe the physiological response of the body when pregnancy does not occur. The corpus luteum shrinking and the subsequent shedding of the uterine lining are part of the menstrual cycle, not processes related to cell duplication, zygote multiplication, or the duration of the germinal period.

3. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

4. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

5. To avoid exposure to toxoplasmosis, Kaye should ask other family members to __________.

• A. stop smoking
• B. pick up after the dog
• C. change the litter box
• D. feed the fish

Correct answer: C

Rationale: To avoid exposure to toxoplasmosis, Kaye should ask other family members to change the litter box. Toxoplasmosis is a parasitic infection that can be transmitted through cat feces, so it is important for pregnant women to avoid handling cat litter to reduce the risk of infection. Choices A, B, and D are incorrect because they are not directly related to preventing toxoplasmosis. Smoking cessation is important for overall health but not specifically to prevent toxoplasmosis. Picking up after the dog and feeding the fish are not relevant to preventing toxoplasmosis, as the infection is primarily associated with cat feces.

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