Nursing Elites

1. Jalynn is in the last half of the first month of her pregnancy. Which of the following is developing the fastest?

• A. circulatory system
• B. endocrine system
• C. nervous system
• D. skin

Correct answer: C

Rationale: During the last half of the first month of pregnancy, the nervous system develops the fastest among the options provided. This rapid development of the nervous system is crucial for the overall growth and functioning of the fetus. The nervous system includes the brain and spinal cord, which are essential for various bodily functions and will continue to develop throughout the pregnancy. The circulatory system, although important, does not develop at the fastest rate during this stage. The endocrine system and skin also play significant roles in the development of the fetus but are not the systems that develop the fastest in the last half of the first month of pregnancy.

2. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?

• A. The death of a spouse causes a decline in the surviving partner's physical health.
• B. The death of a spouse is related to a decline in the surviving partner's physical health.
• C. A decline in a surviving partner's physical health can cause the death of a spouse.
• D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.

Correct answer: B

Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.

3. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

4. In the scenario where parents at Central Elementary School responded to a multiple-choice questionnaire regarding the most important activity they do with their child, this is an example of a __________.

• A. structured interview
• B. clinical interview
• C. naturalistic observation
• D. structured observation

Correct answer: A

Rationale: A structured interview involves asking individuals a predetermined set of questions in a set order. In this scenario, parents at Central Elementary School were given a multiple-choice questionnaire, which indicates that the questions were predetermined and likely asked in a specific order. This method allows for standardized data collection and comparison across participants. Choice B, clinical interview, involves in-depth questioning aimed at understanding an individual's thoughts, feelings, and behaviors related to psychological issues, which is not the case here. Choice C, naturalistic observation, involves observing individuals in their natural environment without interference, which is not applicable to a questionnaire scenario. Choice D, structured observation, involves systematically observing behavior in predefined ways, not relevant to the given scenario of questionnaire responses.

5. Prenatally malnourished babies frequently __________.

• A. reject breast milk
• B. have enlarged hearts
• C. catch respiratory illnesses
• D. have a higher-than-average birth weight

Correct answer: C

Rationale: Prenatally malnourished babies frequently catch respiratory illnesses. Malnourished babies have weakened immune systems, making them more susceptible to illnesses such as respiratory infections. This is a common consequence that is observed in babies who did not receive adequate nutrition during the prenatal period. Choices A, B, and D are incorrect. While malnourished babies may have feeding challenges, rejecting breast milk is not a common consequence. Enlarged hearts are not typically associated with prenatal malnutrition, and having a higher-than-average birth weight is unlikely in malnourished babies.

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