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. Dr. Anodyne found a correlation of +.49 between illegal drug use and levels of adolescent delinquency. This correlation is __________ and __________.

• A. moderate; positive
• B. low; positive
• C. high; negative
• D. low; negative Answer: A Page Ref: 33 Skill Level: Apply and limitations of each. Topic: Studying Development Difficulty Level: Easy

Correct answer: A

Rationale: The correlation of +.49 indicates a moderate strength of relationship between illegal drug use and levels of adolescent delinquency. The positive correlation indicates that as one variable (illegal drug use) increases, the other variable (adolescent delinquency) also tends to increase.

3. Which statement about the harm done by teratogens is true?

• A. Passive smoking can be harmful to the developing fetus.
• B. The genetic makeup of the mother and the developing organism plays an important role.
• C. The negative impact of teratogens is usually reversible.
• D. The most serious defects occur in the germinal period.

Correct answer: B

Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.

4. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

5. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

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