Nursing Elites

1. By age 2, children __________.

• A. take turns in face-to-face interaction
• B. can infer a speaker's indirectly expressed intention
• C. adjust their speech to fit the age of their listeners
• D. adjust their speech to fit the social status of their listeners

Correct answer: C

Rationale: By age 2, children are capable of adjusting their speech to fit the age of their listeners, showing early social cognition. Choice A is incorrect because taking turns in face-to-face interaction typically develops later in childhood. Choice B is incorrect as the ability to infer a speaker's indirectly expressed intention is a more advanced skill not typically seen at age 2. Choice D is also incorrect as children at age 2 are not developmentally ready to adjust their speech based on the social status of their listeners.

2. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

3. Nonnormative influences are irregular and do not follow a predictable timetable.

• A. Nonnormative
• B. History-graded
• C. Age-graded
• D. Bio-historical

Correct answer: A

Rationale: The correct answer is A: Nonnormative. Nonnormative influences are events or experiences that are irregular and unique to the individual, so they do not follow a predictable timetable. These influences can include major life events like winning the lottery or experiencing a natural disaster, and they have a significant impact on a person's development. Choice B, History-graded influences, are events that are common to people of a particular generation due to historical circumstances. Choice C, Age-graded influences, are events that are typical for people of a certain age group. Choice D, Bio-historical, is not a recognized term in developmental psychology.

4. The most rapid prenatal changes take place in the period of the __________.

• A. zygote
• B. blastocyst
• C. embryo
• D. fetus

Correct answer: C

Rationale: The correct answer is C: embryo. The most rapid prenatal changes occur during the embryo stage, which spans from approximately 2 to 8 weeks after conception. This period is crucial as major organs and systems of the body develop rapidly, laying the foundation for future growth and development. The zygote stage is the initial single-celled entity formed by the union of sperm and egg, while the blastocyst stage involves the cluster of cells resulting from the zygote dividing and growing. The fetus stage follows the embryo stage and focuses on refining and growing existing structures rather than rapid development. Therefore, the embryo stage is where the most significant and rapid changes take place in prenatal development.

5. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.

• A. probably easy to console
• B. susceptible to colic
• C. likely to spend less time in REM sleep
• D. unlikely to respond to swaddling

Correct answer: B

Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.

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