Nursing Elites

1. 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.

2. Charles Darwin's theory of evolution emphasized __________ and __________.

• A. the normative approach; survival of the fittest
• B. noble savages; physical maturation
• C. tabula rasa; natural selection
• D. natural selection; survival of the fittest

Correct answer: D

Rationale: Charles Darwin's theory of evolution emphasized natural selection and survival of the fittest. Natural selection is the process by which organisms with traits that help them survive and reproduce in their environment are more likely to pass on these traits to their offspring. Survival of the fittest refers to the idea that the organisms best adapted to their environment are more likely to survive and reproduce, leading to the gradual evolution of species over time. Both concepts are central to Darwin's theory of evolution. Choices A, B, and C are incorrect as they do not accurately reflect the key principles highlighted by Darwin in his theory of evolution.

3. 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.

4. The force of blood flowing through the __________ keeps it firm.

• A. amnion
• B. umbilical cord
• C. yolk sac
• D. embryonic disk

Correct answer: B

Rationale: The force of blood flowing through the umbilical cord keeps it firm. The umbilical cord is the connection between the placenta and the fetus, providing essential nutrients and oxygen to the developing baby. Blood flow through the umbilical cord helps maintain its structure and function throughout the prenatal period. Choices A, C, and D are incorrect as they do not play a role in providing nutrients and oxygen to the developing baby or in maintaining its firmness.

5. 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.

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