ATI RN
Human Growth and Development Exam 1
1. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.
- A. malnutrition
- B. physical abnormality
- C. low birth weight
- D. sudden infant death syndrome
Correct answer: C
Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.
2. In the last weeks of pregnancy, __________.
- A. the fetus usually loses weight
- B. most fetuses assume an upside-down position
- C. fetal growth increases dramatically
- D. the fetus relies on its own well-developed immune system
Correct answer: B
Rationale: In the last weeks of pregnancy, most fetuses assume an upside-down position known as the head-down position or vertex presentation. This position is ideal for a smoother labor and delivery process as it helps the baby move through the birth canal. Fetal growth has already slowed down at this stage, so option C is incorrect. Option A is inaccurate as the fetus typically gains weight in the final weeks. Option D is incorrect because the fetus relies on the mother's immune system while in the womb.
3. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?
- A. The negative effects of smoking are only evident in children born to heavy smokers.
- B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
- C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
- D. The effects of passive smoking are not yet known.
Correct answer: B
Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.
4. What is a characteristic of structured interviews?
- A. Do not yield the same depth of information as a clinical interview
- B. Are flexible because questions are phrased differently for each participant
- C. Bring together a wide range of information on one person
- D. Tell researchers little about the reasoning behind participants' responses
Correct answer: A
Rationale: The correct answer is A. Structured interviews do not yield the same depth of information as a clinical interview because they involve a set of standardized questions that are asked in the same way to all participants. This lack of flexibility may limit the depth and richness of the responses obtained compared to a more open-ended clinical interview. Choices B, C, and D are incorrect because structured interviews are not flexible in question phrasing, do not necessarily bring together a wide range of information on one person, and can provide insights into participants' reasoning behind responses depending on the design of the structured questions.
5. 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.
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