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. __________ may heighten the effects of a high-fat diet.

• A. Sex hormones
• B. Over-the-counter medications
• C. Free radicals
• D. Low body weight

Correct answer: C

Rationale: Free radicals may contribute to oxidative stress, increasing the risk of conditions associated with a high-fat diet. When consuming a high-fat diet, the body may produce more free radicals, leading to oxidative damage. Sex hormones, over-the-counter medications, and low body weight do not directly heighten the effects of a high-fat diet like free radicals do.

3. Which statement about interventions that support parents and preterm infants is true?

• A. Preterm infants whose parents receive coaching show no gains in mental test performance.
• B. Babies who are both preterm and economically disadvantaged require long-term, intensive intervention.
• C. For economically disadvantaged parents of preterm infants, just a few sessions of coaching are required.
• D. Even for parents with adequate economic and personal resources, long-term, intensive intervention is necessary. Answer: B Page Ref: 100 Skill Level: Understand Copyright © 2018 Laura E. Berk. All Rights Reserved. 29 Test Bank for Berk, Development Through the Lifespan, 7e interventions. Topic: Preterm and Low-Birth-Weight Infants Difficulty Level: Moderate

Correct answer: B

Rationale: Babies who are both preterm and economically disadvantaged typically require long-term, intensive intervention. This is because the combination of being born preterm and being economically disadvantaged can pose significant challenges for the infant's development. Providing ongoing support and interventions can help address these challenges and promote healthy development in these infants.

4. Unlike adults, newborn babies __________.

• A. have a limited sense of smell
• B. see nearby objects most clearly
• C. prefer unfamiliar voices to familiar ones
• D. see unclearly across a wide range of distances

Correct answer: B

Rationale: Unlike adults, newborn babies see nearby objects most clearly. This is due to the fact that newborns have a limited ability to focus their eyes on objects that are farther away. Their visual acuity is not fully developed at birth, leading to clearer vision of objects situated at a close distance. Choice A is incorrect because newborn babies have a well-developed sense of smell. Choice C is incorrect as newborns typically show a preference for familiar voices, such as their mother's voice. Choice D is incorrect as newborns do not see unclearly across a wide range of distances; rather, their vision is clearer for nearby objects.

5. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

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