Nursing Elites

1. During which period does the germinal period occur?

• A. Occurs during the second trimester of pregnancy
• B. Lasts about six weeks
• C. Lasts about two weeks
• D. Is the final period of a 38-week pregnancy

Correct answer: C

Rationale: The germinal period lasts about two weeks and occurs during the first two weeks of pregnancy. This is the time when the fertilized egg implants into the uterus and begins to divide rapidly. It is followed by the embryonic period, which lasts from about week 3 to week 8 of pregnancy. Choice A is incorrect because the germinal period happens in the early stages of pregnancy, not the second trimester. Choice B is incorrect because the germinal period typically lasts about two weeks, not six. Choice D is incorrect because the germinal period is an early stage of pregnancy and not the final period of a 38-week pregnancy.

2. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

3. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

4. Men with even tiny amounts of dioxin in their bloodstream father __________.

• A. nearly twice as many girls as boys
• B. nearly three times as many boys as girls
• C. more twins and triplets than unaffected men
• D. fewer children than unaffected men

Correct answer: A

Rationale: Men with even tiny amounts of dioxin in their bloodstream father nearly twice as many girls as boys. This is due to the impact of dioxin exposure on sperm cells, leading to a skewed ratio of female to male offspring. Choice B is incorrect as the question specifically mentions that men father more girls than boys. Choice C is incorrect as dioxin exposure does not necessarily lead to more twins and triplets. Choice D is incorrect as men with dioxin in their bloodstream father more girls, not fewer children overall.

5. During prenatal development, the ectoderm folds over to form the __________, or primitive spinal cord.

• A. mesoderm; neuron tract
• B. neural tube
• C. endoderm; neural tube
• D. neuron tract

Correct answer: B

Rationale: The correct answer is B. During prenatal development, the ectoderm folds over to form the neural tube, which eventually develops into the brain and spinal cord. The neural tube is the precursor to the central nervous system, including the primitive spinal cord. Choices A, C, and D are incorrect because the mesoderm does not form the neural tube, the endoderm is not involved in the formation of the central nervous system, and neuron tract is not the structure that forms the primitive spinal cord.

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