Nursing Elites

1. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?

• A. Chloe, a Caucasian American
• B. Latima, an African American
• C. Yvonne, a Native American
• D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.

2. In egalitarian marriages, __________.

• A. there is a clear division of roles
• B. partners share power and authority
• C. the husband is the head of the household
• D. the wife is responsible for family economic well-being

Correct answer: B

Rationale: In egalitarian marriages, the correct answer is B - partners share power and authority. This type of marriage promotes equality and balance, where both spouses have an equal say in decision-making and share responsibilities. Choice A is incorrect because egalitarian marriages aim to reduce traditional role divisions. Choice C is incorrect as it suggests a patriarchal structure, which is contrary to the principles of egalitarianism. Choice D is incorrect as it assigns a specific financial role based on gender, which goes against the idea of equal sharing in all aspects of the marriage.

3. Under ethical standards, when is deception permitted in research studies?

• A. if the participants are young enough that they would not understand the deception
• B. if investigators satisfy institutional review boards that such practices are necessary
• C. if researchers can observe participants from behind one-way mirrors
• D. if the participants give informed consent and the researchers never reveal the real purpose of the study

Correct answer: B

Rationale: Ethical standards permit deception in research studies if investigators satisfy institutional review boards that such practices are necessary. Institutional review boards are responsible for ensuring that research studies comply with ethical guidelines and protect the welfare of study participants. Deception should only be used when necessary, and the board's approval indicates that safeguards are in place to minimize harm to participants. Choices A, C, and D are incorrect because ethical deception in research studies is not based on the age of participants, observing from behind mirrors, or obtaining informed consent without revealing the study's real purpose.

4. Recent evidence suggests that paternal alcohol use around the time of conception __________.

• A. can alter gene expression
• B. can cause fetal alcohol syndrome
• C. is linked to blood vessel abnormalities
• D. has no negative effect on the developing organism

Correct answer: A

Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.

5. 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.

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