Nursing Elites

1. 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.

2. Which statement about the harm done by teratogens is true?

• A. Passive smoking can be harmful to the developing fetus.
• B. The genetic makeup of the mother and the developing organism plays an important role.
• C. The negative impact of teratogens is usually reversible.
• D. The most serious defects occur in the germinal period.

Correct answer: B

Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.

3. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

4. Theorists who contend that powerful negative events in the first few years cannot be fully overcome by later, more positive ones emphasize __________.

• A. plasticity
• B. stability
• C. nurture
• D. discontinuity

Correct answer: B

Rationale: Theorists who emphasize stability argue that powerful negative events early in life cannot be completely overcome by later, more positive experiences. They believe that early experiences have a lasting impact on development and are not easily erased or reversed by subsequent events. This perspective contrasts with the idea of plasticity, which suggests that development can be influenced by experiences at any point in life, and that individuals have the capacity for change and growth throughout the lifespan. 'Nurture' does not directly address the concept of overcoming negative events, while 'discontinuity' refers to developmental stages being separate and distinct, not the idea that negative events early in life persist despite later positive experiences.

5. Regarding a baby’s adaptation to labor and delivery, stress hormones __________. Copyright © 2018 Laura E. Berk. All Rights Reserved. 21 Test Bank for Berk, Development Through the Lifespan, 7e

• A. endanger the newborn
• B. arouse the infant into alertness
• C. cause the cervix to thin and the uterine wall to contract
• D. cause the mother to breathe deeply, increasing the infant’s oxygen supply Answer: B Page Ref: 94 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Stress hormones during labor and delivery actually help arouse the infant into alertness. These hormones can promote the infant's readiness to adapt to the new environment outside the womb.

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