Nursing Elites

1. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

2. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

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. Fraternal twins are ____________.

• A. genetically identical
• B. no more alike than ordinary siblings
• C. less common than other types of multiple offspring
• D. less likely with each additional birth

Correct answer: B

Rationale: The correct answer is B. Fraternal twins are no more alike than ordinary siblings because they share about 50% of their genes, just like other siblings. Choice A is incorrect as fraternal twins are not genetically identical. Choice C is incorrect as fraternal twins are actually the most common type of multiple offspring. Choice D is incorrect as the likelihood of fraternal twins is not affected by the number of births a mother has had.

5. By the twelfth week of pregnancy, __________.

• A. the sex of the fetus can be detected with ultrasound
• B. the mother can feel the movements of the fetus
• C. the fetus is viable and can survive if born early
• D. synchrony between fetal heart rate and motor activity peaks Answer: A Page Ref: 79 Skill Level: Understand Copyright © 2018 Laura E. Berk. All Rights Reserved. 6 Test Bank for Berk, Development Through the Lifespan, 7e Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: By the twelfth week of pregnancy, the sex of the fetus can be detected with ultrasound. Ultrasound technology allows for visualization of the developing fetus and identification of physical characteristics, such as sex, during prenatal appointments.

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