Nursing Elites

1. In ecological systems theory, how does Toby's move just before entering fourth grade represent a significant change in his life?

• A. Microsystem
• B. Mesosystem
• C. Exosystem
• D. Chronosystem

Correct answer: D

Rationale: In ecological systems theory, the chronosystem refers to the dimension of time and how events and transitions over time can influence an individual's development. Toby's move just before entering fourth grade represents a significant change in his life that falls under the chronosystem. The microsystem involves the immediate environments and relationships that directly influence an individual, the mesosystem relates to connections between these environments, and the exosystem includes external settings that indirectly influence the individual, such as parents' workplaces. Therefore, Toby's move best exemplifies a change in the chronosystem due to the temporal influence on his development.

2. In the __________ period, teratogens rarely have any impact.

• A. germinal
• B. embryonic
• C. fetal
• D. prenatal

Correct answer: A

Rationale: In the germinal period of prenatal development, which lasts for about the first two weeks after fertilization, the developing organism is a zygote that has not yet implanted in the uterus. During this period, teratogens rarely have any impact because essential implantation and early cellular division processes are occurring. Teratogens are more likely to have significant effects during the later embryonic and fetal periods of development. Therefore, the correct answer is A. Choice B, embryonic period, is incorrect because teratogens have a higher likelihood of impacting development during this period. Choice C, fetal period, is also incorrect as teratogens can impact development during this stage as well. Choice D, prenatal, is a broad term encompassing the entire period of development from conception to birth and is not a specific developmental stage where teratogens have a minimal impact.

3. This means that Andrew __________.

• A. is in good physical condition
• B. needs assistance in establishing breathing and other vital signs
• C. is in serious danger and should receive emergency medical attention
• D. was in danger at birth, but quickly recovered and is now in good physical condition Answer: B Page Ref: 95 Skill Level: Apply newborn baby’s appearance. Topic: Childbirth Difficulty Level: Difficult

Correct answer: B

Rationale: The statement "Andrew needs assistance in establishing breathing and other vital signs" refers to the initial steps taken to ensure a newborn's well-being after birth. This is a common practice to ensure that the newborn is transitioning smoothly into the outside world and is not indicative of a serious danger that requires emergency medical attention.

4. In developing countries, the most readily available intervention for promoting the recovery of preterm babies is _________.

• A. hospitalization
• B. care in an isolette
• C. lying on a waterbed
• D. skin-to-skin 'kangaroo care'

Correct answer: D

Rationale: In developing countries, the most readily available intervention for promoting the recovery of preterm babies is skin-to-skin 'kangaroo care.' This involves direct skin-to-skin contact between the baby and a caregiver, typically the mother, which helps regulate the baby's body temperature, improve bonding, and support overall development. Kangaroo care can be easily implemented even in resource-limited settings and has been shown to have positive effects on preterm infants' health outcomes. Choices A, B, and C are incorrect because hospitalization, care in an isolette, and lying on a waterbed are not specifically tailored interventions that address the unique needs of preterm babies in developing countries like kangaroo care does.

5. Dr. O'Connor wants 90-year-old Mr. Takashi to participate in a research study that involves moderate risks. Mr. Takashi is incapable of consenting. Which statement best expresses your advice regarding Mr. Takashi's participation in the study?

• A. He should not be allowed to participate in the study under any circumstances.
• B. He should be allowed to participate in the study regardless of the benefit.
• C. He should be allowed to participate in the study only if his participation will benefit others.
• D. He should be allowed to participate in the study only if it is likely to benefit him directly.

Correct answer: D

Rationale: Mr. Takashi should be allowed to participate in the study only if it is likely to benefit him directly. This decision aligns with the principle of beneficence in research ethics, which emphasizes maximizing benefits and minimizing risks for research participants. Since Mr. Takashi is incapable of giving consent, his participation should be based on the likelihood of direct benefits to him rather than solely for the benefit of others or solely for research purposes. Option A is too restrictive and does not consider potential benefits to Mr. Takashi. Option B is flawed as it disregards the need for the study to benefit Mr. Takashi. Option C focuses on benefiting others, which is not the primary consideration when the participant cannot give consent.

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