Nursing Elites

1. Lanugo ________.

• A. permits food and oxygen to reach the organism
• B. provides the fetus a cushion against jolts caused by the mother's movements
• C. helps regulate the fetus's body temperature
• D. helps the vernix stick to the skin

Correct answer: D

Rationale: Lanugo helps the vernix stick to the skin. Vernix is a waxy substance that covers the fetus's skin during pregnancy. Lanugo is a fine, downy hair that helps to anchor the vernix to the skin, providing protection and nourishment to the developing fetus. Choices A, B, and C are incorrect as they do not accurately describe the role of lanugo in prenatal development.

2. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

3. Mounting evidence suggests that __________ is a major contributor to SIDS.

• A. impaired brain functioning
• B. higher-than-average birth weight
• C. organized and patterned sleep behavior
• D. a family history of chromosomal abnormalities

Correct answer: A

Rationale: Impaired brain functioning is a major contributor to Sudden Infant Death Syndrome (SIDS). Research has shown that abnormalities in the brainstem, which controls automatic functions like breathing and heart rate, can play a role in SIDS cases. As such, mounting evidence suggests that compromised brain functioning is a significant factor in the occurrence of SIDS. Choices B, C, and D are incorrect. Higher-than-average birth weight, organized and patterned sleep behavior, and a family history of chromosomal abnormalities are not identified as major contributors to SIDS according to the provided information.

4. Central to Piaget's theory is the concept of __________.

• A. imitation
• B. adaptation
• C. self-efficacy
• D. scaffolding

Correct answer: B

Rationale: Central to Piaget's theory is the concept of adaptation, which refers to the process by which individuals adjust to new information and experiences by modifying their existing cognitive structures. Piaget believed that this process of adaptation involved two key components: assimilation, where individuals incorporate new information into their existing schemas, and accommodation, where individuals adjust their schemas to fit new information. This concept highlights the dynamic nature of cognitive development and the importance of interaction between individuals and their environment in shaping intellectual growth. Choice A, 'imitation,' is incorrect as Piaget's theory focuses on how individuals actively construct their understanding of the world through their interactions with it, rather than simply imitating others. Choice C, 'self-efficacy,' is not the central concept in Piaget's theory; self-efficacy is a concept from Bandura's social cognitive theory. Choice D, 'scaffolding,' is associated with Vygotsky's sociocultural theory, not Piaget's theory.

5. Newborns of smoking mothers __________.

• A. are more attentive to sounds
• B. display more muscle tension
• C. less often have colic
• D. are less excitable when visually stimulated Answer: B Page Ref: 84 Skill Level: Understand known or suspected teratogens. Copyright © 2018 Laura E. Berk. All Rights Reserved. 12 Test Bank for Berk, Development Through the Lifespan, 7e Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: B

Rationale: Newborns of smoking mothers display more muscle tension. This is because nicotine in cigarettes can lead to increased muscle tension in babies, which can affect their physical development and potentially lead to future health issues. This is one of the negative effects of smoking during pregnancy on the developing fetus.

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