Nursing Elites

1. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

2. Lillian uses flowcharts to map the precise steps individuals use to solve problems and complete tasks. Lillian is a(n) __________ theorist.

• A. psychoanalytic
• B. information-processing
• C. psychosocial
• D. social learning Answer: B Page Ref: 19 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Moderate

Correct answer: B

Rationale: Lillian, who uses flowcharts to map precise steps individuals use to solve problems and complete tasks, is likely an information-processing theorist. Information-processing theorists focus on how people take in, store, and retrieve information to solve problems and make decisions, which aligns with Lillian's use of flowcharts to map out problem-solving steps.

3. What is the function of the amniotic fluid?

• A. Delivers food and oxygen to the developing organism
• B. Helps keep the temperature of the prenatal world constant
• C. Delivers nutrients and removes waste products
• D. Produces blood cells until the organs are mature enough to take over this function

Correct answer: B

Rationale: The correct answer is B: 'Helps keep the temperature of the prenatal world constant.' Amniotic fluid helps maintain a stable and warm environment for the developing organism, assisting in regulating the temperature. This fluid also acts as a cushion, protecting the fetus from physical harm. Choices A, C, and D are incorrect because while amniotic fluid provides protection and support to the developing organism, it does not directly deliver food, oxygen, nutrients, or remove waste products, nor does it produce blood cells as the organs eventually take over this function.

4. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

5. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

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