Nursing Elites

1. According to Piaget, in which stage of cognitive development is four-year-old R’Monte who engages in make-believe play by stirring beads in a bowl and saying, “Soup is ready!”?

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

Correct answer: B

Rationale: According to Piaget's theory of cognitive development, four-year-old R’Monte's engagement in make-believe play, such as pretending to stir beads in a bowl and creating imaginary soup, indicates that he is in the preoperational stage of cognitive development. This stage is characterized by symbolic thinking, pretend play, language development, and egocentrism. Choice A, sensorimotor, is incorrect as this stage occurs in infancy and focuses on sensory experiences and object permanence. Choice C, concrete operational, is incorrect as this stage occurs around ages 7-11 and involves logical reasoning about concrete events. Choice D, sociocultural, is incorrect as it does not correspond to Piaget's stages of cognitive development.

2. Tiffany is a small-for-date baby. This means she __________.

• A. was born several weeks or more before her due date
• B. was born below her expected weight considering the length of the pregnancy
• C. will probably have much less serious problems than a preterm infant
• D. may have difficulties in infancy but will outgrow them by the preschool years

Correct answer: B

Rationale: A small-for-date baby, also known as a small-for-gestational-age (SGA) baby, is a baby who is born below their expected weight considering the length of the pregnancy. This can be due to various factors including issues with growth restriction in the womb. Being small-for-date is different from being preterm (born prematurely) and does not necessarily mean that the baby was born early. Choice A is incorrect because being small-for-date does not specifically indicate being born several weeks or more before the due date. Choice C is incorrect because being small-for-date does not guarantee fewer problems than a preterm infant, as each baby's health outcomes can vary. Choice D is incorrect because while small-for-date babies may have initial difficulties, it does not guarantee that these issues will be outgrown by the preschool years.

3. Longitudinal research can identify common patterns as well as individual differences in development because the investigator __________.

• A. studies groups of participants differing in age at the same point in time
• B. randomly assigns participants to treatment conditions
• C. tracks the performance of each person over time
• D. conducts quasi-experiments, comparing conditions that already exist

Correct answer: C

Rationale: Longitudinal research involves tracking the performance of each person over time. By doing so, researchers can observe common patterns in development among a group of individuals and also identify individual differences in how each person progresses over time. This methodology allows researchers to gather data on the same individuals repeatedly, offering insights into how development unfolds over the lifespan. Choices A, B, and D are incorrect because longitudinal research focuses on observing individuals over time rather than studying groups at a single point, randomly assigning participants to treatments, or conducting quasi-experiments.

4. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

5. What is largely responsible for the worldwide rise in cesarean deliveries?

• A. Use of natural or prepared childbirth
• B. Use of a doula
• C. Medical control over childbirth
• D. Apgar testing

Correct answer: C

Rationale: Medical control over childbirth is largely responsible for the worldwide rise in cesarean deliveries. Cesarean deliveries are often performed due to various medical interventions such as monitoring the progress of labor, fetal distress, and other complications that may arise during childbirth. The increasing use of medical interventions and technology has contributed to the higher rate of cesarean deliveries globally. Choices A, B, and D are incorrect because they do not directly involve the decision-making and interventions typically carried out by medical professionals during childbirth, which are major factors leading to the rise in cesarean deliveries.

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