Nursing Elites

1. Unlike adults, newborn babies __________.

• A. have a limited sense of smell
• B. see nearby objects most clearly
• C. prefer unfamiliar voices to familiar ones
• D. see unclearly across a wide range of distances

Correct answer: B

Rationale: Unlike adults, newborn babies see nearby objects most clearly. This is due to the fact that newborns have a limited ability to focus their eyes on objects that are farther away. Their visual acuity is not fully developed at birth, leading to clearer vision of objects situated at a close distance. Choice A is incorrect because newborn babies have a well-developed sense of smell. Choice C is incorrect as newborns typically show a preference for familiar voices, such as their mother's voice. Choice D is incorrect as newborns do not see unclearly across a wide range of distances; rather, their vision is clearer for nearby objects.

2. Basic emotions __________.

• A. appear in the middle of the second year
• B. are universal in humans
• C. are found only among humans
• D. involve injury to our sense of self

Correct answer: B

Rationale: Basic emotions like happiness, sadness, and anger are universal across humans, meaning they are experienced by people worldwide regardless of cultural differences. These emotions are not limited to a specific group of individuals or exclusive to humans; they are observed in various species. Choice A is incorrect because basic emotions actually appear early in life, not specifically in the middle of the second year. Choice C is incorrect as basic emotions are not exclusive to humans but are observed in other animals as well. Choice D is incorrect because basic emotions do not necessarily involve injury to our sense of self, but rather represent fundamental and instinctual feelings that are part of human nature.

3. __________ doubles the risk of SIDS.

• A. Failure to tightly swaddle an infant during sleep
• B. Use of a pacifier or a security blanket
• C. Placing an infant to sleep on his back
• D. Cigarette smoking by a caregiver Answer: D Page Ref: 106 Box: BIOLOGY AND ENVIRONMENT: The Mysterious Tragedy of Sudden Infant Death Syndrome Skill Level: Understand Topic: The Newborn Baby’s Capacities Difficulty Level: Moderate

Correct answer: D

Rationale: Cigarette smoking by a caregiver doubles the risk of SIDS. Secondhand smoke exposure can increase the likelihood of SIDS due to the toxins and chemicals present in cigarette smoke. It is important to have a smoke-free environment for infants to reduce the risk of SIDS.

4. Which statement about the newborn baby's appearance is true?

• A. Girls tend to be slightly longer and heavier than boys.
• B. Their round faces and big eyes make adults feel like picking them up.
• C. The trunk is large in comparison to the head, and the legs are straight.
• D. On average, they are 18 inches long and 5½ pounds in weight.

Correct answer: C

Rationale: The correct statement about the newborn baby's appearance is that the trunk is large in comparison to the head, and the legs are straight. This is a common characteristic of newborn babies as their proportions are different from adults. Choice A is incorrect as there is no consistent trend of girls being longer and heavier than boys at birth. Choice B is incorrect as the perception of adults wanting to pick up babies is subjective and not a universal truth. Choice D is incorrect as the average length and weight provided may not apply to all newborn babies, as there can be variations.

5. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

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