Nursing Elites

1. Lily weighed 8 pounds and was 21 inches long at birth. She was __________ than the average baby.

• A. heavier but shorter
• B. heavier and longer
• C. lighter but longer
• D. lighter and shorter

Correct answer: B

Rationale: Lily weighed 8 pounds and was 21 inches long at birth. Being both heavier and longer than average babies typically are at birth, Lily would be considered heavier and longer compared to the average baby. This makes choice B, 'heavier and longer,' the correct answer. Choices A, C, and D are incorrect because Lily was not shorter or lighter than the average baby at birth.

2. At Kohlberg's Stage __________, individuals can imagine alternatives to their own social order, and they emphasize fair procedures for interpreting and changing the law.

• A. 3, the 'good boy/good girl' orientation
• B. 4, the social-order-maintaining orientation
• C. 5, the social contract orientation
• D. 6, the universal ethical principle orientation

Correct answer: C

Rationale: The correct answer is C: '5, the social contract orientation.' At Kohlberg's Stage 5, individuals begin to question their own social order and focus on principles of justice and fairness. This stage emphasizes the importance of social contracts and agreements based on mutual benefit. Choice A is incorrect as the 'good boy/good girl' orientation is characteristic of Stage 3. Choice B, the social-order-maintaining orientation, does not align with the description provided in the question. Choice D, the universal ethical principle orientation, is associated with Stage 6, where individuals act based on self-chosen ethical principles.

3. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

4. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

5. __________ increases tenfold from the twentieth week until birth.

• A. Amniotic fluid
• B. Brain weight
• C. Fetal length
• D. Neuron production

Correct answer: B

Rationale: Brain weight increases tenfold from the twentieth week until birth. This rapid growth and development of the brain during the prenatal period is crucial for setting the foundation for future cognitive and neurological functions. Choices A, C, and D are incorrect because although they also undergo changes during prenatal development, none of them increase tenfold from the twentieth week until birth, unlike brain weight.

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