Nursing Elites

1. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

2. Spatial skills __________.

• A. increase exponentially in early childhood
• B. support children's improved executive function
• C. develop gradually over childhood and adolescence
• D. are typically housed in the left hemisphere

Correct answer: C

Rationale: Spatial skills develop gradually over childhood and adolescence, reflecting the increasing complexity of these abilities. Choice A is incorrect because spatial skills do not increase exponentially in early childhood but rather develop steadily. Choice B is incorrect as spatial skills are not directly linked to executive function. Choice D is incorrect because spatial skills are not typically housed in a specific hemisphere but involve a network of brain regions.

3. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

4. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

5. Dr. Rizvi studies the relationship between changes in the brain and the developing person's cognitive processing and behavior patterns. She is part of a group of researchers from the fields of psychology, biology, neuroscience, and medicine. This approach to development is known as __________.

• A. behaviorism
• B. cognitive-development theory
• C. the information-processing approach
• D. developmental cognitive neuroscience

Correct answer: D

Rationale: Dr. Rizvi's approach to development, involving studying the relationship between changes in the brain and cognitive processing and behavior patterns, aligns with developmental cognitive neuroscience. This field combines research from various disciplines to understand how brain development influences cognitive processes and behaviors. Choice A, behaviorism, focuses on observable behaviors influenced by external stimuli. Choice B, cognitive-development theory, emphasizes cognitive growth stages. Choice C, the information-processing approach, centers on how individuals perceive, store, and retrieve information.

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