Nursing Elites

1. 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.

2. Women who __________ tend to reach menopause earlier.

• A. have had two or more children
• B. do not smoke
• C. have not borne children
• D. have borne twins

Correct answer: C

Rationale: The correct answer is C: 'have not borne children.' Women who have not borne children may experience menopause earlier due to lower levels of certain reproductive hormones. Having two or more children (choice A) is not typically associated with reaching menopause earlier. Smoking (choice B) is known to have negative effects on menopause but does not necessarily cause it to happen earlier. Borne twins (choice D) is a specific scenario and not a general factor influencing the timing of menopause.

3. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

4. The term teratogen refers to __________.

• A. any environmental agent that causes damage during the prenatal period
• B. a limited time span during which a part of the body is biologically prepared to develop rapidly
• C. a rapid period of prenatal neurological development
• D. a synthetic hormone used to prevent miscarriage

Correct answer: A

Rationale: The correct answer is A: 'any environmental agent that causes damage during the prenatal period.' A teratogen is any substance or factor that can cause harm to the developing fetus during pregnancy. Choice B is incorrect because it describes a critical period, not a teratogen. Choice C is incorrect as it refers to a specific period of development, not a teratogen. Choice D is incorrect because it describes a synthetic hormone, not a teratogen.

5. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e

• A. endanger the newborn
• B. arouse the infant into alertness
• C. cause the cervix to thin and the uterine wall to contract
• D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.

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