Nursing Elites

1. Shamona, a pregnant mother in Flint, Michigan, is concerned about the drinking water, which shows high levels of lead. Shamona should know that high levels of prenatal lead exposure are related to __________.

• A. facial abnormalities and heart defects
• B. defects of the genitals and urinary tract
• C. low birth weight and brain damage
• D. a variety of childhood cancers

Correct answer: C

Rationale: High levels of prenatal lead exposure are related to low birth weight and brain damage. Lead exposure during pregnancy can have harmful effects on the developing fetus, leading to complications such as decreased birth weight and potential long-term brain damage. Choices A, B, and D are incorrect because they do not directly correlate with the known effects of prenatal lead exposure. While lead exposure can indeed cause a variety of health issues, such as heart defects and urinary tract problems, the primary concerns related to prenatal exposure are low birth weight and brain damage.

2. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?

• A. Chloe, a Caucasian American
• B. Latima, an African American
• C. Yvonne, a Native American
• D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.

3. As school-age children move into adolescence, self-concept is increasingly vested in feedback from __________.

• A. close friends
• B. family members
• C. younger children
• D. the inner self

Correct answer: A

Rationale: During adolescence, individuals start to rely more on feedback from close friends to develop their self-concept. Close friends play a significant role during this transitional period as they provide peer validation, support, and influence. Family members, although important, may not hold the same level of influence on self-concept during adolescence as close friends do. Younger children are unlikely to provide the necessary feedback and validation needed during this developmental stage. While self-reflection and understanding the inner self are vital for personal growth, during adolescence, external feedback from close friends tends to have a more pronounced impact on shaping self-concept.

4. During prenatal development, the ectoderm becomes the __________.

• A. muscles and skeleton
• B. nervous system and skin
• C. circulatory system and other internal organs
• D. digestive system, lungs, urinary tract, and glands

Correct answer: B

Rationale: The correct answer is B: nervous system and skin. The nervous system, which includes the brain, spinal cord, and nerves, as well as the skin, develop from the ectoderm layer of cells during prenatal development. Choice A is incorrect because muscles and skeleton develop from mesoderm. Choice C is incorrect because the circulatory system and other internal organs develop from mesoderm and endoderm. Choice D is incorrect because the digestive system, lungs, urinary tract, and glands develop from endoderm.

5. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

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