Nursing Elites

1. Vygotsky's emphasis on culture and social experience led him to __________.

• A. understand the interaction between biological factors and social influences in cognitive development
• B. overemphasize the role of heredity in cognitive change
• C. emphasize children's independent efforts to make sense of their world
• D. place too much emphasis on children's capacity to shape their own development

Correct answer: A

Rationale: Vygotsky's emphasis on culture and social experience did not lead him to neglect the biological side of development. Instead, he believed that biological factors and social influences interact to shape cognitive development. Choice A is correct because it reflects Vygotsky's view that biological factors and social experiences work together in cognitive development. Choices B, C, and D are incorrect as Vygotsky's emphasis was not on overemphasizing heredity, focusing solely on independent efforts of children, or placing too much emphasis on children's capacity to shape their own development.

2. Lily weighed 8 pounds and was 21 inches long at birth. She was __________ than the average baby.

• A. heavier but shorter
• B. heavier and longer
• C. lighter but longer
• D. lighter and shorter

Correct answer: B

Rationale: Lily weighed 8 pounds and was 21 inches long at birth. Being both heavier and longer than average babies typically are at birth, Lily would be considered heavier and longer compared to the average baby. This makes choice B, 'heavier and longer,' the correct answer. Choices A, C, and D are incorrect because Lily was not shorter or lighter than the average baby at birth.

3. 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.

4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

5. Where does the male produce sperm, and where are these glands located?

• A. penis; scrotum
• B. scrotum; penis
• C. testes; penis
• D. testes; scrotum

Correct answer: D

Rationale: The male produces sperm in the testes, which are two glands located in the scrotum. The scrotum is the external sac that houses and protects the testes, allowing for optimal temperature regulation to support sperm production. Choice A is incorrect because sperm production does not occur in the penis. Choice B is incorrect because the scrotum houses the testes, not the penis. Choice C is incorrect because sperm is produced in the testes, not the penis.

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