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. Tiffany is a small-for-date baby. This means she __________.

• A. was born several weeks or more before her due date
• B. was born below her expected weight considering the length of the pregnancy
• C. will probably have much less serious problems than a preterm infant
• D. may have difficulties in infancy but will outgrow them by the preschool years

Correct answer: B

Rationale: A small-for-date baby, also known as a small-for-gestational-age (SGA) baby, is a baby who is born below their expected weight considering the length of the pregnancy. This can be due to various factors including issues with growth restriction in the womb. Being small-for-date is different from being preterm (born prematurely) and does not necessarily mean that the baby was born early. Choice A is incorrect because being small-for-date does not specifically indicate being born several weeks or more before the due date. Choice C is incorrect because being small-for-date does not guarantee fewer problems than a preterm infant, as each baby's health outcomes can vary. Choice D is incorrect because while small-for-date babies may have initial difficulties, it does not guarantee that these issues will be outgrown by the preschool years.

3. Despite growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father, Betty is a successful, happy, and healthy adult. Betty's ability to adapt effectively in the face of threats to development is known as __________.

• A. assimilation
• B. resilience
• C. age-graded development
• D. multidimensional development

Correct answer: B

Rationale: Betty's ability to adapt effectively despite facing challenges during her childhood such as growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father demonstrates resilience. Resilience refers to the capacity to achieve positive outcomes despite adverse circumstances. Betty's successful, happy, and healthy adulthood showcases her resilience in navigating and overcoming the threats to her development. Choice A, assimilation, does not fit the context of adapting effectively to adverse circumstances. Assimilation is a cognitive process related to incorporating new information into existing schemas. Choice C, age-graded development, refers to typical developmental changes that occur in a culture at a particular age. Choice D, multidimensional development, encompasses the idea that development is influenced by multiple factors across various dimensions, which is not directly related to Betty's ability to adapt effectively despite facing challenges.

4. What is the function of the amniotic fluid?

• A. Delivers food and oxygen to the developing organism
• B. Helps keep the temperature of the prenatal world constant
• C. Delivers nutrients and removes waste products
• D. Produces blood cells until the organs are mature enough to take over this function

Correct answer: B

Rationale: The correct answer is B: 'Helps keep the temperature of the prenatal world constant.' Amniotic fluid helps maintain a stable and warm environment for the developing organism, assisting in regulating the temperature. This fluid also acts as a cushion, protecting the fetus from physical harm. Choices A, C, and D are incorrect because while amniotic fluid provides protection and support to the developing organism, it does not directly deliver food, oxygen, nutrients, or remove waste products, nor does it produce blood cells as the organs eventually take over this function.

5. Unlike adults, newborn babies __________.

• A. have a limited sense of smell
• B. see nearby objects most clearly
• C. prefer unfamiliar voices to familiar ones
• D. see unclearly across a wide range of distances

Correct answer: B

Rationale: Unlike adults, newborn babies see nearby objects most clearly. This is due to the fact that newborns have a limited ability to focus their eyes on objects that are farther away. Their visual acuity is not fully developed at birth, leading to clearer vision of objects situated at a close distance. Choice A is incorrect because newborn babies have a well-developed sense of smell. Choice C is incorrect as newborns typically show a preference for familiar voices, such as their mother's voice. Choice D is incorrect as newborns do not see unclearly across a wide range of distances; rather, their vision is clearer for nearby objects.

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