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. 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.

3. In the information-processing system, where does information first enter?

• A. central executive
• B. short-term memory store
• C. sensory register
• D. long-term memory store

Correct answer: C

Rationale: In the information-processing system, information first enters the sensory register. This is where sensory information from the environment is briefly stored before being processed further. The central executive is responsible for coordinating cognitive processes, the short-term memory store holds information temporarily for immediate tasks, and the long-term memory store stores information for long periods, but the sensory register is the initial entry point for incoming information.

4. During the period of the embryo, the __________ becomes the __________.

• A. mesoderm; nervous system, lungs, internal organs, and skin
• B. chorion; endocrine system, muscles, placenta, and skeleton
• C. ectoderm; circulatory system, skin, skeleton, and internal organs
• D. endoderm; digestive system, lungs, urinary tract, and glands Answer: D Page Ref: 78 Skill Level: Remember Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: D

Rationale: During the period of the embryo, the endoderm becomes the digestive system, lungs, urinary tract, and glands. The endoderm is one of the primary germ layers that give rise to various internal organs in the developing embryo. It plays a crucial role in the formation of organs such as the digestive system, respiratory system, and glandular structures.

5. Which mother is most likely to have had inadequate prenatal care?

• A. Lupe, age 25
• B. Marissa, age 32
• C. Rotunda, age 16
• D. Janette, age 40

Correct answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

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