Nursing Elites

1. The lifespan perspective on human development assumes that development is __________.

• A. static and stable
• B. multidimensional and multidirectional
• C. continuous, rather than discontinuous
• D. largely the result of heredity

Correct answer: B

Rationale: The lifespan perspective on human development assumes that development is multidimensional and multidirectional. This means that development occurs in various domains (such as physical, cognitive, and psychosocial) and can involve gains and losses as individuals age. This perspective recognizes that human development is complex and dynamic, involving various factors and pathways over the course of a person's life. Choices A, C, and D are incorrect because human development is not static and stable (A), can involve both continuous and discontinuous changes (C), and is influenced by a combination of heredity and environment rather than solely by heredity (D).

2. Ethnographic research is directed toward understanding a culture through __________ observation.

• A. naturalistic
• B. participant
• C. systematic
• D. structured

Correct answer: B

Rationale: Ethnographic research is directed toward understanding a culture through participant observation. This type of observation involves the researcher immersing themselves in the culture being studied, actively participating in the daily activities and interactions of the group being studied. Through participant observation, researchers can gain a deep and nuanced understanding of the culture from the inside. Choice A, naturalistic observation, typically refers to observing subjects in their natural environment without interference, but it does not involve actively participating in the culture. Choice C, systematic observation, focuses on carefully planned and structured data collection methods but may not involve direct participation. Choice D, structured observation, implies a predefined set of guidelines for observation but lacks the immersive aspect of participant observation.

3. Babies who spend more time alert are likely to have __________.

• A. parents who feel incompetent
• B. a slight advantage in mental development
• C. a big disadvantage in social development
• D. parents who must exert great effort to soothe them

Correct answer: B

Rationale: Babies who spend more time alert are likely to have a slight advantage in mental development. Being alert allows babies to engage with their surroundings, explore, and learn, which can contribute to their cognitive development. This is different from social development, which is more related to interactions with others, and not necessarily impacted by the amount of alertness a baby displays. Choices A, C, and D are incorrect because there is no direct correlation between a baby's alertness and their parents' feelings of incompetence, a big disadvantage in social development, or the effort parents need to soothe them.

4. Shamona, a pregnant mother in Flint, Michigan, is concerned about the drinking water, which shows high levels of lead. Shamona should know that high levels of prenatal lead exposure are related to __________.

• A. facial abnormalities and heart defects
• B. defects of the genitals and urinary tract
• C. low birth weight and brain damage
• D. a variety of childhood cancers

Correct answer: C

Rationale: High levels of prenatal lead exposure are related to low birth weight and brain damage. Lead exposure during pregnancy can have harmful effects on the developing fetus, leading to complications such as decreased birth weight and potential long-term brain damage. Choices A, B, and D are incorrect because they do not directly correlate with the known effects of prenatal lead exposure. While lead exposure can indeed cause a variety of health issues, such as heart defects and urinary tract problems, the primary concerns related to prenatal exposure are low birth weight and brain damage.

5. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

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