Nursing Elites

1. When __________, newborn Takeo's toes should fan out and curl as his foot twists in.

• A. a bright light shines in his eyes
• B. his bare foot touches a flat surface
• C. his cheek is stroked near the corner of his mouth
• D. the sole of his foot is stroked from toe to heel

Correct answer: D

Rationale: The correct answer is D because the description of the twisting and fanning out of newborn Takeo's toes suggests the Babinski reflex, which is typically elicited by stroking the sole of the foot from toe to heel. The Babinski reflex is a normal response in newborns and indicates proper neurological development. Choices A, B, and C are incorrect as they do not elicit the specific response described in the question.

2. Infants engage in __________ by actively seeking emotional information from a trusted person in an uncertain situation.

• A. self-control
• B. give-and-take
• C. emotional self-regulation
• D. social referencing

Correct answer: D

Rationale: The correct answer is 'social referencing.' Social referencing is a behavior where infants seek emotional information from a trusted person, usually a caregiver, to determine how to respond in uncertain situations. This process helps infants regulate their emotions and behaviors based on the cues they receive from the trusted individual. Choices A, B, and C are incorrect because self-control, give-and-take, and emotional self-regulation do not specifically involve seeking emotional information from others in uncertain situations, as social referencing does.

3. Which factor fosters a more positive, coherent early self-concept?

• A. Permissive parenting
• B. A warm, sensitive parent-child relationship
• C. Authoritarian parenting
• D. Strong identification with an other-sex parent

Correct answer: B

Rationale: A warm, sensitive parent-child relationship is crucial in fostering a positive and coherent early self-concept in children. This type of relationship provides support, security, and emotional guidance, helping children develop a strong sense of self-worth and self-identity. Permissive parenting (Choice A) may lead to confusion and inconsistency in discipline, impacting the child's self-concept negatively. Authoritarian parenting (Choice C), characterized by strict rules and a lack of warmth, can result in a child feeling insecure and having a negative self-concept. Strong identification with an other-sex parent (Choice D) may influence gender identity development but may not directly impact the early self-concept in the same way a warm and sensitive parent-child relationship does.

4. Fetal monitoring is __________.

• A. rarely used in U.S. hospitals
• B. linked with low birth weight
• C. linked with a decreased rate of cesarean deliveries
• D. required in most U.S. hospitals

Correct answer: D

Rationale: Fetal monitoring is required in most U.S. hospitals during labor and delivery to track the baby's heart rate and the mother's contractions. This helps healthcare providers to assess the well-being of the fetus and make timely decisions regarding the need for interventions if any complications arise. Choices A, B, and C are incorrect because fetal monitoring is a standard procedure in most hospitals to ensure the safety and health of both the mother and the baby during labor.

5. Which statement about prenatal marijuana exposure is true?

• A. It is linked to impulsivity and overactivity.
• B. Lasting consequences are well-established.
• C. Studies show no negative effects of exposure.
• D. It is linked to an array of physical malformations.

Correct answer: A

Rationale: The correct answer is A: 'It is linked to impulsivity and overactivity.' Prenatal marijuana exposure has been associated with impulsivity and overactivity in children based on research findings. However, lasting consequences of prenatal marijuana exposure are not as well-established compared to other teratogens. Choice B is incorrect because lasting consequences are not firmly established. Choice C is incorrect because studies have shown negative effects of prenatal marijuana exposure. Choice D is incorrect as prenatal marijuana exposure is not primarily linked to physical malformations.

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