Nursing Elites

1. 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.

2. 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.

3. In the last weeks of pregnancy, __________.

• A. the fetus usually loses weight
• B. most fetuses assume an upside-down position
• C. fetal growth increases dramatically
• D. the fetus relies on its own well-developed immune system

Correct answer: B

Rationale: In the last weeks of pregnancy, most fetuses assume an upside-down position known as the head-down position or vertex presentation. This position is ideal for a smoother labor and delivery process as it helps the baby move through the birth canal. Fetal growth has already slowed down at this stage, so option C is incorrect. Option A is inaccurate as the fetus typically gains weight in the final weeks. Option D is incorrect because the fetus relies on the mother's immune system while in the womb.

4. 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.

5. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?

• A. The death of a spouse causes a decline in the surviving partner's physical health.
• B. The death of a spouse is related to a decline in the surviving partner's physical health.
• C. A decline in a surviving partner's physical health can cause the death of a spouse.
• D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.

Correct answer: B

Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.

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