Nursing Elites

1. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

2. 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.

3. According to psychosexual theory, what is crucial for healthy personality development?

• A. Children actively construct knowledge as they manipulate and explore the world.
• B. Directly observable events are the appropriate focus of psychological study.
• C. How parents manage their child's sexual and aggressive drives in the first few years.
• D. The ego makes a positive contribution to development, acquiring attitudes and skills.

Correct answer: C

Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.

4. 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.

5. The most rapid prenatal changes take place in the period of the __________.

• A. zygote
• B. blastocyst
• C. embryo
• D. fetus

Correct answer: C

Rationale: The correct answer is C: embryo. The most rapid prenatal changes occur during the embryo stage, which spans from approximately 2 to 8 weeks after conception. This period is crucial as major organs and systems of the body develop rapidly, laying the foundation for future growth and development. The zygote stage is the initial single-celled entity formed by the union of sperm and egg, while the blastocyst stage involves the cluster of cells resulting from the zygote dividing and growing. The fetus stage follows the embryo stage and focuses on refining and growing existing structures rather than rapid development. Therefore, the embryo stage is where the most significant and rapid changes take place in prenatal development.

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