Nursing Elites

1. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

2. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.

• A. lanugo
• B. corpus luteum
• C. vernix
• D. chorion

Correct answer: C

Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.

3. When trying to soothe a crying baby, what technique do Western parents typically attempt first?

• A. Massaging the baby's body
• B. Offering a pacifier and a receiving blanket
• C. Playing recorded womb sounds or sounds of nature
• D. Lifting the baby to the shoulder and rocking or walking

Correct answer: D

Rationale: When Western parents aim to soothe a crying baby, the technique they usually try first is lifting the baby to the shoulder and rocking or walking. This method is effective because the motion and closeness provided by rocking or walking can help calm the baby and offer comfort. Choice A is incorrect as massaging the baby's body is not typically the first technique used. Choice B is incorrect as offering a pacifier and a receiving blanket may be tried after lifting the baby to the shoulder. Choice C is also incorrect as playing recorded sounds is usually not the initial technique attempted.

4. Dr. Redmund characterizes his view of development as a bioecological model. His perspective is aligned with that of which theorist?

• A. Jean Piaget
• B. Urie Bronfenbrenner
• C. Lev Vygotsky
• D. Niko Tinbergen

Correct answer: B

Rationale: Dr. Redmund's view of development aligns with the bioecological model, which is associated with Urie Bronfenbrenner. This model emphasizes the interaction between an individual's biological characteristics and environmental influences in development. Jean Piaget's theory focuses on cognitive development, Lev Vygotsky's theory emphasizes social interactions, and Niko Tinbergen is known for his work in animal behavior and instinct, not human development. Therefore, the correct answer is Urie Bronfenbrenner (Choice B).

5. When __________, newborn Takeo's toes should fan out and curl as his foot twists in.

• A. a bright light shines in his eyes
• B. his bare foot touches a flat surface
• C. his cheek is stroked near the corner of his mouth
• D. the sole of his foot is stroked from toe to heel

Correct answer: D

Rationale: The correct answer is D because the description of the twisting and fanning out of newborn Takeo's toes suggests the Babinski reflex, which is typically elicited by stroking the sole of the foot from toe to heel. The Babinski reflex is a normal response in newborns and indicates proper neurological development. Choices A, B, and C are incorrect as they do not elicit the specific response described in the question.

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