Nursing Elites

1. Nine-month-old Avery can retrieve his ball when his mother hides it under a blanket. Avery has begun to master __________.

• A. the tertiary circular reaction
• B. reflexive schemes
• C. object permanence
• D. deferred imitation

Correct answer: C

Rationale: Avery demonstrating the ability to retrieve his ball hidden under a blanket indicates that he has started to understand object permanence. Object permanence is the concept that objects continue to exist even when they are out of sight. This milestone typically occurs around 8-12 months of age. The other choices are incorrect. Option A, the tertiary circular reaction, is related to Piaget's theory of sensorimotor development but does not specifically address object permanence. Reflexive schemes (Option B) refer to simple, reflex-like behaviors and are not directly linked to object permanence. Deferred imitation (Option D) involves the ability to imitate actions observed at an earlier time, which is a different developmental milestone compared to object permanence.

2. 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.

3. In the __________ period, teratogens rarely have any impact.

• A. germinal
• B. embryonic
• C. fetal
• D. prenatal

Correct answer: A

Rationale: In the germinal period of prenatal development, which lasts for about the first two weeks after fertilization, the developing organism is a zygote that has not yet implanted in the uterus. During this period, teratogens rarely have any impact because essential implantation and early cellular division processes are occurring. Teratogens are more likely to have significant effects during the later embryonic and fetal periods of development. Therefore, the correct answer is A. Choice B, embryonic period, is incorrect because teratogens have a higher likelihood of impacting development during this period. Choice C, fetal period, is also incorrect as teratogens can impact development during this stage as well. Choice D, prenatal, is a broad term encompassing the entire period of development from conception to birth and is not a specific developmental stage where teratogens have a minimal impact.

4. By age 2, children __________.

• A. take turns in face-to-face interaction
• B. can infer a speaker's indirectly expressed intention
• C. adjust their speech to fit the age of their listeners
• D. adjust their speech to fit the social status of their listeners

Correct answer: C

Rationale: By age 2, children are capable of adjusting their speech to fit the age of their listeners, showing early social cognition. Choice A is incorrect because taking turns in face-to-face interaction typically develops later in childhood. Choice B is incorrect as the ability to infer a speaker's indirectly expressed intention is a more advanced skill not typically seen at age 2. Choice D is also incorrect as children at age 2 are not developmentally ready to adjust their speech based on the social status of their listeners.

5. In developing countries, the most readily available intervention for promoting the recovery of preterm babies is _________.

• A. hospitalization
• B. care in an isolette
• C. lying on a waterbed
• D. skin-to-skin 'kangaroo care'

Correct answer: D

Rationale: In developing countries, the most readily available intervention for promoting the recovery of preterm babies is skin-to-skin 'kangaroo care.' This involves direct skin-to-skin contact between the baby and a caregiver, typically the mother, which helps regulate the baby's body temperature, improve bonding, and support overall development. Kangaroo care can be easily implemented even in resource-limited settings and has been shown to have positive effects on preterm infants' health outcomes. Choices A, B, and C are incorrect because hospitalization, care in an isolette, and lying on a waterbed are not specifically tailored interventions that address the unique needs of preterm babies in developing countries like kangaroo care does.

Similar Questions