Nursing Elites

1. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

2. __________ love is strong at the beginning of a relationship.

• A. Compassionate
• B. Affectionate
• C. Passionate
• D. Companionate

Correct answer: C

Rationale: Passionate love is characterized by intense emotions and physical attraction, which are common in the early stages of relationships. Compassionate love involves deep affection, but it develops over time based on mutual respect, trust, and intimacy. Affectionate love is warm and tender, but it may not necessarily have the intense emotions associated with passionate love. Companionate love is based on friendship, respect, and affection, but it may lack the intense emotions and physical attraction that characterize passionate love.

3. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

4. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

5. Dr. Kostel believes that development takes place in stages. This belief is consistent with the __________ perspective.

• A. nurture
• B. continuous
• C. discontinuous
• D. nature

Correct answer: C

Rationale: Dr. Kostel's belief in stage-based development aligns with the discontinuous perspective, which sees development as a series of distinct stages. The continuous perspective (choice B) suggests development as a smooth and gradual process without distinct stages. The nature perspective (choice D) focuses on genetic and hereditary influences on development. The nurture perspective (choice A) emphasizes the impact of environment and upbringing on development, which is not directly related to the belief in stage-based development.

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