Nursing Elites

1. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

2. Who believed that complex mental activities have their origins in social interaction?

• A. Jean Piaget
• B. Renée Baillargeon
• C. Noam Chomsky
• D. Lev Vygotsky

Correct answer: D

Rationale: The correct answer is Lev Vygotsky. Vygotsky emphasized the role of social interaction and cultural tools in the development of higher cognitive functions. Jean Piaget focused more on individual cognitive development stages, Renée Baillargeon is known for her work in infant cognition and object permanence, and Noam Chomsky is renowned for his theories in linguistics and the study of language.

3. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

4. What did John Bowlby believe?

• A. Adults and more expert peers help children master culturally meaningful activities.
• B. The infant-caregiver bond has lifelong consequences for human relationships.
• C. Parents and infants are both instinctively attached to each other.
• D. Attachment patterns are difficult to study in humans.

Correct answer: B

Rationale: John Bowlby believed that the infant-caregiver bond has lifelong consequences for human relationships. This is supported by his theory of attachment, where he emphasized the importance of early attachment experiences in shaping individuals' future relationships. Choice A is incorrect as it does not reflect Bowlby's main focus on attachment theory. Choice C is incorrect as Bowlby's theory suggests that attachment is more than just instinctual. Choice D is also incorrect as Bowlby's work actually paved the way for the study of attachment patterns in humans.

5. What advice can you offer parents who want to reduce their newborn son’s discomfort during circumcision?

• A. Stimulate the Babinski reflex.
• B. Play loud music to distract the baby.
• C. Offer a sugar solution while gently holding the baby.
• D. Newborns have a low sensitivity to pain, so interventions are unnecessary. Answer: C Page Ref: 108 Skill Level: Apply Topic: The Newborn Baby’s Capacities Copyright © 2018 Laura E. Berk. All Rights Reserved. 35 Test Bank for Berk, Development Through the Lifespan, 7e Difficulty Level: Difficult

Correct answer: C

Rationale: Offering a sugar solution while gently holding the baby can help reduce the newborn's discomfort during circumcision. This method has been found to effectively decrease pain perception and can provide some comfort to the baby during the procedure. Stimulating the Babinski reflex, playing loud music to distract the baby, and assuming newborns have low sensitivity to pain are not recommended strategies for reducing discomfort during circumcision.

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