Nursing Elites

1. 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.

2. Children in middle childhood are in Piaget's _______ stage, which extends from about 7 to 11 years.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: C

Rationale: The correct answer is C: concrete operational. During the concrete operational stage, children start to engage in logical thinking about concrete events. This stage typically occurs between the ages of 7 to 11 years. Choices A, B, and D are incorrect. The sensorimotor stage (choice A) is the first stage in Piaget's theory, occurring from birth to about 2 years old. The preoperational stage (choice B) follows the sensorimotor stage and occurs roughly from ages 2 to 7 years. The formal operational stage (choice D) is the final stage in Piaget's theory, where abstract thinking and hypothetical reasoning develop, usually beginning around age 11.

3. Babies who spend more time alert are likely to have __________.

• A. parents who feel incompetent
• B. a slight advantage in mental development
• C. a big disadvantage in social development
• D. parents who must exert great effort to soothe them

Correct answer: B

Rationale: Babies who spend more time alert are likely to have a slight advantage in mental development. Being alert allows babies to engage with their surroundings, explore, and learn, which can contribute to their cognitive development. This is different from social development, which is more related to interactions with others, and not necessarily impacted by the amount of alertness a baby displays. Choices A, C, and D are incorrect because there is no direct correlation between a baby's alertness and their parents' feelings of incompetence, a big disadvantage in social development, or the effort parents need to soothe them.

4. Piaget's critics point out that __________.

• A. he overestimated the competencies of infants and young children
• B. his stagewise account pays insufficient attention to social and cultural influences
• C. discovery learning rather than adult teaching is the best way to foster development
• D. children's performances on Piagetian tasks cannot be improved with training

Correct answer: B

Rationale: Piaget's critics point out that his stagewise account pays insufficient attention to social and cultural influences. Critics argue that Piaget's theory does not fully consider the impact of social interactions, cultural differences, and individual experiences on children's cognitive development. They believe that these factors play a crucial role in shaping a child's thinking and problem-solving abilities, which should be given more emphasis. Choice A is incorrect because Piaget's critics do not focus on him overestimating the competencies of infants and young children. Choice C is incorrect as it discusses a different aspect of learning rather than the critique of Piaget's theory. Choice D is also incorrect since critics do not argue that children's performances on Piagetian tasks cannot be improved with training.

5. Dr. Wu observes children’s responses to bullying by watching them play in a park. This is an example of a(n) __________.

• A. ethnographic study
• B. naturalistic observation
• C. structured observation
• D. clinical interview Answer: B Page Ref: 28 Skill Level: Apply Topic: Studying Development Difficulty Level: Moderate

Correct answer: B

Rationale: Dr. Wu's observation of children's responses to bullying by watching them play in a park is an example of naturalistic observation. Naturalistic observation involves observing behavior in a natural setting without any manipulation or intervention. Dr. Wu is simply observing the children's behavior in a real-world setting to gain insights into how they respond to bullying, making it a naturalistic observation.

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