Nursing Elites

1. Which mother is most likely to have had inadequate prenatal care?

• A. Lupe, age 25
• B. Marissa, age 32
• C. Rotunda, age 16
• D. Janette, age 40

Correct answer: C

Rationale: Rotunda, age 16, is the most likely to have had inadequate prenatal care due to her young age and possibly limited access to healthcare resources and support. Adolescents are at higher risk for inadequate prenatal care compared to older mothers due to various factors such as lack of awareness, financial constraints, and inconsistent health behaviors. Young mothers may face challenges in seeking proper prenatal care due to reasons like lack of knowledge, fear of judgment, or limited financial means. Older mothers like Lupe, Marissa, and Janette are less likely to have inadequate prenatal care compared to a younger mother like Rotunda, as they may have more access to resources, experience, and support systems.

2. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

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. Which of the following best describes a sequential design?

• A. Does not address diversity in developmental outcomes.
• B. Permits researchers to check if cohort effects are operating.
• C. Is less efficient than a longitudinal design.
• D. Makes cross-sectional, but not longitudinal, comparisons.

Correct answer: B

Rationale: A sequential design permits researchers to check if cohort effects are operating. This design involves combining cross-sectional and longitudinal research, allowing for the comparison of different cohorts at different ages. By using this approach, researchers can determine if developmental changes observed are due to age or generation-specific factors. Therefore, a sequential design is valuable in addressing the potential influence of cohort effects on developmental outcomes. Choices A, C, and D are incorrect because a sequential design does not neglect diversity in developmental outcomes, is not necessarily less efficient than a longitudinal design, and can make both cross-sectional and longitudinal comparisons.

5. During the period of the embryo, the __________ becomes the __________.

• A. mesoderm; nervous system, lungs, internal organs, and skin
• B. chorion; endocrine system, muscles, placenta, and skeleton
• C. ectoderm; circulatory system, skin, skeleton, and internal organs
• D. endoderm; digestive system, lungs, urinary tract, and glands Answer: D Page Ref: 78 Skill Level: Remember Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: D

Rationale: During the period of the embryo, the endoderm becomes the digestive system, lungs, urinary tract, and glands. The endoderm is one of the primary germ layers that give rise to various internal organs in the developing embryo. It plays a crucial role in the formation of organs such as the digestive system, respiratory system, and glandular structures.

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