Nursing Elites

1. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

2. Brain growth is especially dramatic during __________, when the brain more than doubles in size.

• A. the first year
• B. the second year
• C. middle childhood
• D. adolescence

Correct answer: A

Rationale: Brain growth is especially dramatic during the first year of life when the brain more than doubles in size. This period is characterized by rapid neural development and growth. The brain doesn't double in size during the second year, making choice B incorrect. Middle childhood and adolescence do not represent periods where the brain more than doubles in size, making choices C and D incorrect, respectively.

3. Dr. Kostel believes that development takes place in stages. This belief is consistent with the __________ perspective.

• A. nurture
• B. continuous
• C. discontinuous
• D. nature

Correct answer: C

Rationale: Dr. Kostel's belief in stage-based development aligns with the discontinuous perspective, which sees development as a series of distinct stages. The continuous perspective (choice B) suggests development as a smooth and gradual process without distinct stages. The nature perspective (choice D) focuses on genetic and hereditary influences on development. The nurture perspective (choice A) emphasizes the impact of environment and upbringing on development, which is not directly related to the belief in stage-based development.

4. Mothers who __________ have fewer birth complications and shorter labors.

• A. choose cesarean delivery
• B. give birth at home
• C. are supported by a trained companion during childbirth
• D. are administered epidural analgesia during childbirth

Correct answer: C

Rationale: According to research, mothers who are supported by a trained companion during childbirth have fewer birth complications and shorter labors. This support can reduce stress and anxiety levels, provide comfort and encouragement, and help the mother feel more in control during labor and delivery. Overall, having a trained companion present can contribute to a more positive childbirth experience for the mother. Choices A, B, and D are incorrect because they do not align with the research findings that specifically highlight the benefits of having a trained companion during childbirth.

5. Three-month-old Jefferson will probably listen longer to __________ than to __________.

• A. pure tones; voices
• B. pure tones; noises
• C. human speech; nonspeech sounds
• D. a foreign language; his native language

Correct answer: C

Rationale: Three-month-old Jefferson will likely listen longer to human speech compared to nonspeech sounds because infants have a natural preference for speech sounds. This preference is believed to be attributed to their biological readiness to learn language and communicate with others. Choice A is incorrect because voices are a form of human speech, which is preferred over pure tones. Choice B is incorrect as noises do not necessarily engage infants' attention as effectively as human speech. Choice D is incorrect because Jefferson is more likely to listen longer to his native language rather than a foreign language at this early age.

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