a 20 week old fetus can

ATI RN

Growth and Development Exam

1. A 20-week-old fetus can __________.

A. be stimulated as well as irritated by sounds
B. survive, if born early
C. breathe without oxygen assistance, if born early
D. control its own body temperature Answer: A Page Ref: 80 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: A 20-week-old fetus is able to be stimulated as well as irritated by sounds because by this stage of prenatal development, the fetus's auditory system is already well-developed. It can respond to external sounds and may even startle or move in reaction to loud noises.

2. According to Jean Piaget's cognitive-developmental theory, __________?

A. children actively construct knowledge as they manipulate and explore their world
B. children's learning depends on reinforcers, such as rewards from adults
C. adult teaching is the best way to foster development
D. rapid development occurs during sensitive periods

Correct answer: A

Rationale: According to Jean Piaget's cognitive-developmental theory, children actively construct knowledge as they manipulate and explore their world. Piaget emphasized that children learn through their own actions and interactions with the environment, leading to cognitive development. Choice B is incorrect because Piaget's theory focuses on children's active engagement in learning rather than passive reinforcement. Choice C is incorrect because Piaget's theory highlights the child's role in constructing knowledge, not solely relying on adult teaching. Choice D is incorrect as it refers to sensitive periods, a concept more associated with other developmental theories like Erikson's psychosocial theory, not Piaget's cognitive-developmental theory.

3. 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.

4. How can families prevent escalating demands that lead to chaos?

A. Parental multitasking
B. Eating separate meals
C. Compression of family routines
D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

5. In the eighth month of pregnancy, what typically happens?

A. fetal growth doubles
B. neuron production increases
C. the eyes, ears, nose, jaw, and neck form
D. lanugo typically is shed

Correct answer: D

Rationale: In the eighth month of pregnancy, lanugo typically is shed. Lanugo is the fine, downy hair that covers a fetus's body to help regulate body temperature while in the womb. By the eighth month, many fetuses shed this hair as they prepare for birth. Choices A, B, and C are incorrect because fetal growth doubling, neuron production increasing, and the formation of eyes, ears, nose, jaw, and neck occur in earlier stages of pregnancy, not specifically in the eighth month.