Nursing Elites

1. What advice can you offer parents who want to reduce their newborn son’s discomfort during circumcision?

• A. Stimulate the Babinski reflex.
• B. Play loud music to distract the baby.
• C. Offer a sugar solution while gently holding the baby.
• D. Newborns have a low sensitivity to pain, so interventions are unnecessary. Answer: C Page Ref: 108 Skill Level: Apply Topic: The Newborn Baby’s Capacities Copyright © 2018 Laura E. Berk. All Rights Reserved. 35 Test Bank for Berk, Development Through the Lifespan, 7e Difficulty Level: Difficult

Correct answer: C

Rationale: Offering a sugar solution while gently holding the baby can help reduce the newborn's discomfort during circumcision. This method has been found to effectively decrease pain perception and can provide some comfort to the baby during the procedure. Stimulating the Babinski reflex, playing loud music to distract the baby, and assuming newborns have low sensitivity to pain are not recommended strategies for reducing discomfort during circumcision.

2. During Irina's first week of pregnancy, __________.

• A. heart muscles begin to develop
• B. the zygote multiplies and forms a blastocyst
• C. a primitive brain and spinal cord appear
• D. the embryo can move

Correct answer: B

Rationale: During the first week of pregnancy, the zygote (fertilized egg) undergoes rapid cell divisions and forms a blastocyst. This is a crucial stage where the cells differentiate and specialize, setting the foundation for the development of the embryo. It is during this time that the zygote implants itself into the uterine wall, initiating the process of pregnancy. Choices A, C, and D are incorrect because during the first week of pregnancy, the focus is on the initial development and multiplication of the zygote, not on the development of heart muscles, a primitive brain and spinal cord, or the embryo's ability to move.

3. 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.

4. Lily weighed 8 pounds and was 21 inches long at birth. She was __________ than the average baby.

• A. heavier but shorter
• B. heavier and longer
• C. lighter but longer
• D. lighter and shorter

Correct answer: B

Rationale: Lily weighed 8 pounds and was 21 inches long at birth. Being both heavier and longer than average babies typically are at birth, Lily would be considered heavier and longer compared to the average baby. This makes choice B, 'heavier and longer,' the correct answer. Choices A, C, and D are incorrect because Lily was not shorter or lighter than the average baby at birth.

5. Heaven was born several weeks before her due date. Although she was small, her birth weight was appropriate, based on time spent in the uterus. Heaven is a __________ infant.

• A. small-for-date
• B. small-for-weight
• C. mature
• D. preterm

Correct answer: D

Rationale: Heaven is a preterm infant because she was born early, but her weight is appropriate for the time she spent in the womb. Choice A, 'small-for-date,' is incorrect as it does not specifically indicate that the infant was born before the due date. Choice B, 'small-for-weight,' is incorrect because the infant's weight is appropriate for the gestational age. Choice C, 'mature,' is incorrect as it does not reflect the early birth of the infant.

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