Nursing Elites

1. In an investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early __________ than children who experienced a full-length prenatal period.

• A. showed lower reading and math scores at a third-grade follow-up
• B. were less likely to suffer from childhood obesity
• C. were less likely to suffer from neurological impairments
• D. showed higher language and social/emotional scores in early childhood

Correct answer: A

Rationale: In the investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early showed lower reading and math scores at a third-grade follow-up compared to children who experienced a full-length prenatal period. This suggests that being born slightly premature can have an impact on cognitive development, leading to educational challenges later on. Choices B, C, and D are incorrect because the study specifically highlighted lower reading and math scores, not a reduced likelihood of suffering from childhood obesity or neurological impairments, or improved language and social/emotional scores in early childhood.

2. 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.

3. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

4. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.

• A. probably easy to console
• B. susceptible to colic
• C. likely to spend less time in REM sleep
• D. unlikely to respond to swaddling

Correct answer: B

Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.

5. At Kohlberg's Stage __________, individuals can imagine alternatives to their own social order, and they emphasize fair procedures for interpreting and changing the law.

• A. 3, the 'good boy/good girl' orientation
• B. 4, the social-order-maintaining orientation
• C. 5, the social contract orientation
• D. 6, the universal ethical principle orientation

Correct answer: C

Rationale: The correct answer is C: '5, the social contract orientation.' At Kohlberg's Stage 5, individuals begin to question their own social order and focus on principles of justice and fairness. This stage emphasizes the importance of social contracts and agreements based on mutual benefit. Choice A is incorrect as the 'good boy/good girl' orientation is characteristic of Stage 3. Choice B, the social-order-maintaining orientation, does not align with the description provided in the question. Choice D, the universal ethical principle orientation, is associated with Stage 6, where individuals act based on self-chosen ethical principles.

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