Nursing Elites

1. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

2. __________ increases tenfold from the twentieth week until birth.

• A. Amniotic fluid
• B. Brain weight
• C. Fetal length
• D. Neuron production

Correct answer: B

Rationale: Brain weight increases tenfold from the twentieth week until birth. This rapid growth and development of the brain during the prenatal period is crucial for setting the foundation for future cognitive and neurological functions. Choices A, C, and D are incorrect because although they also undergo changes during prenatal development, none of them increase tenfold from the twentieth week until birth, unlike brain weight.

3. Three-month-old Jefferson will probably listen longer to __________ than to __________.

• A. pure tones; voices
• B. pure tones; noises
• C. human speech; nonspeech sounds
• D. a foreign language; his native language

Correct answer: C

Rationale: Three-month-old Jefferson will likely listen longer to human speech compared to nonspeech sounds because infants have a natural preference for speech sounds. This preference is believed to be attributed to their biological readiness to learn language and communicate with others. Choice A is incorrect because voices are a form of human speech, which is preferred over pure tones. Choice B is incorrect as noises do not necessarily engage infants' attention as effectively as human speech. Choice D is incorrect because Jefferson is more likely to listen longer to his native language rather than a foreign language at this early age.

4. Which statement describes a limitation of the clinical method?

• A. It may not yield observations typical of participants’ behavior in everyday life.
• B. Researchers cannot control conditions under which participants are observed.
• C. The findings cannot be applied to individuals other than the participant.
• D. It does not usually yield rich, descriptive insights into factors that affect development. Answer: C Page Ref: 30 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate

Correct answer: C

Rationale: The statement that describes a limitation of the clinical method is that the findings cannot be applied to individuals other than the participant. The clinical method typically involves in-depth studies of individual participants, which may limit generalizability to a broader population. This means that the findings from a clinical study may not be applicable to other individuals who are not directly involved in the study.

5. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

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