Nursing Elites

1. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

2. Today, research that combines an experimental strategy with __________ approach is becoming increasingly common.

• A. both a correlational and a sequential
• B. either a correlational or a sequential
• C. either a longitudinal or a cross-sectional
• D. both a correlational and a longitudinal

Correct answer: C

Rationale: The blank in the statement refers to an approach that can be used in combination with an experimental strategy. Longitudinal and cross-sectional approaches are two common research methods in developmental psychology. Longitudinal studies involve following the same group of individuals over an extended period, while cross-sectional studies compare different groups of individuals of different ages at the same time. By combining an experimental strategy with either a longitudinal or a cross-sectional approach, researchers can gain a deeper understanding of developmental processes and changes over time. Choices A, B, and D are incorrect because correlational and sequential are not the most relevant approaches when studying developmental changes over time in research.

3. What are the most obvious organized patterns of behavior in a newborn baby?

• A. Reflexes
• B. States of arousal
• C. Shrill cries
• D. Sleep patterns

Correct answer: A

Rationale: The correct answer is A: Reflexes. Reflexes are automatic, involuntary responses to specific stimuli and are the most obvious organized patterns of behavior in a newborn baby. Examples of newborn reflexes include sucking, rooting, grasping, and the Moro reflex. These reflexes are crucial for the newborn's survival and overall development. Choice B, states of arousal, refers to different levels of consciousness and responsiveness, not organized behavior patterns. Choice C, shrill cries, is a form of communication and not an organized behavior pattern. Choice D, sleep patterns, while important for newborns, are not the most obvious organized behavior patterns.

4. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

5. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

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