Nursing Elites

1. According to Piaget, in which stage of cognitive development is four-year-old R’Monte who engages in make-believe play by stirring beads in a bowl and saying, “Soup is ready!”?

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. sociocultural

Correct answer: B

Rationale: According to Piaget's theory of cognitive development, four-year-old R’Monte's engagement in make-believe play, such as pretending to stir beads in a bowl and creating imaginary soup, indicates that he is in the preoperational stage of cognitive development. This stage is characterized by symbolic thinking, pretend play, language development, and egocentrism. Choice A, sensorimotor, is incorrect as this stage occurs in infancy and focuses on sensory experiences and object permanence. Choice C, concrete operational, is incorrect as this stage occurs around ages 7-11 and involves logical reasoning about concrete events. Choice D, sociocultural, is incorrect as it does not correspond to Piaget's stages of cognitive development.

2. A combined Apgar score of __________ indicates that the infant is in good physical condition.

• A. less than 3
• B. 3 or 4
• C. 5 or 6
• D. 7 or better

Correct answer: D

Rationale: A combined Apgar score of 7 or better indicates that the infant is in good physical condition. The Apgar score is a quick assessment of a newborn's overall health shortly after birth. It evaluates the baby's heart rate, respiratory effort, muscle tone, reflexes, and color. A score of 7 or higher indicates that the baby is adjusting well to life outside the womb. Choices A, B, and C are incorrect as they represent scores that indicate the infant may need medical attention or assistance as they are below the threshold of 7 which signifies good physical condition.

3. According to Erikson, if the psychological conflict of adolescence is resolved negatively, a young person experiences __________.

• A. mistrust
• B. isolation
• C. inferiority
• D. role confusion

Correct answer: D

Rationale: Erikson's theory of psychosocial development states that during adolescence, individuals face the conflict of identity vs. role confusion. If this conflict is resolved negatively, adolescents experience role confusion. Role confusion occurs when adolescents fail to develop a clear sense of identity, leading to uncertainty about their future roles. Choices A, B, and C are incorrect because they correspond to earlier stages of Erikson's stages of psychosocial development (mistrust corresponds to infancy, isolation to early adulthood, and inferiority to middle childhood), not adolescence.

4. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

5. The __________ reflex helps a newborn find the nipple.

• A. rooting
• B. Moro
• C. Babinski
• D. tonic neck Answer: A Page Ref: 101 Skill Level: Understand Topic: The Newborn Baby’s Capacities Difficulty Level: Moderate

Correct answer: A

Rationale: The rooting reflex is the correct answer. This reflex helps a newborn baby find the nipple by turning their head and opening their mouth when their cheek is stroked or touched. This is crucial for the baby to locate and latch onto the mother's breast for feeding. The rooting reflex typically disappears around 4 months of age.

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