Nursing Elites

1. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.

• A. intimacy
• B. ego identity
• C. ego integrity
• D. initiative

Correct answer: C

Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.

2. The mother feels a natural urge to squeeze and push with her abdominal muscles during which stage of labor?

• A. first
• B. second
• C. third
• D. fourth

Correct answer: B

Rationale: The mother feels a natural urge to squeeze and push with her abdominal muscles during the second stage of labor. This stage occurs after the cervix is fully dilated and ends with the delivery of the baby. Choice A (first) is incorrect as the first stage is mainly characterized by the dilation of the cervix. Choice C (third) is incorrect as the third stage is the delivery of the placenta, and choice D (fourth) is incorrect as the fourth stage is the recovery period after childbirth.

3. __________, a strong type of painkiller used in labor and delivery, blocks sensation.

• A. Anesthetics
• B. Analgesics
• C. Anti-inflammatories
• D. Folic acids

Correct answer: A

Rationale: Anesthetics, such as epidurals, are a strong type of painkiller used in labor and delivery that block sensation. They work by numbing the nerves in the lower part of the spine, providing pain relief during childbirth. Choice B, Analgesics, are pain relievers that reduce pain without causing loss of consciousness, but they are not as strong as anesthetics for labor pain. Choice C, Anti-inflammatories, are medications that reduce inflammation and do not directly block sensation like anesthetics. Choice D, Folic acids, are a type of B vitamin crucial for cell growth and metabolism, not used as painkillers in labor and delivery.

4. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

5. The yolk sac __________.

• A. forms during the third trimester of pregnancy
• B. is the outer ring of cells that surrounds the blastocyst Copyright © 2018 Laura E. Berk. All Rights Reserved. 3 Test Bank for Berk, Development Through the Lifespan, 7e
• C. produces blood cells until the organs are mature enough to take over this function
• D. contains one large vein that delivers blood loaded with nutrients and two arteries that remove waste Answer: C Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: C

Rationale: The yolk sac is an extraembryonic membrane that plays a significant role in the early development of the embryo. One of its functions is to produce blood cells until the organs are mature enough to take over this function. This process occurs during the early stages of prenatal development to support the growing embryo before it can sustain itself independently.

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