Nursing Elites

1. Children in middle childhood are in Piaget's _______ stage, which extends from about 7 to 11 years.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: C

Rationale: The correct answer is C: concrete operational. During the concrete operational stage, children start to engage in logical thinking about concrete events. This stage typically occurs between the ages of 7 to 11 years. Choices A, B, and D are incorrect. The sensorimotor stage (choice A) is the first stage in Piaget's theory, occurring from birth to about 2 years old. The preoperational stage (choice B) follows the sensorimotor stage and occurs roughly from ages 2 to 7 years. The formal operational stage (choice D) is the final stage in Piaget's theory, where abstract thinking and hypothetical reasoning develop, usually beginning around age 11.

2. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

3. To avoid exposure to toxoplasmosis, Kaye should ask other family members to __________.

• A. stop smoking
• B. pick up after the dog
• C. change the litter box
• D. feed the fish

Correct answer: C

Rationale: To avoid exposure to toxoplasmosis, Kaye should ask other family members to change the litter box. Toxoplasmosis is a parasitic infection that can be transmitted through cat feces, so it is important for pregnant women to avoid handling cat litter to reduce the risk of infection. Choices A, B, and D are incorrect because they are not directly related to preventing toxoplasmosis. Smoking cessation is important for overall health but not specifically to prevent toxoplasmosis. Picking up after the dog and feeding the fish are not relevant to preventing toxoplasmosis, as the infection is primarily associated with cat feces.

4. 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.

5. 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.

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