Nursing Elites

1. 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.

2. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

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. Baby Gabriella claps her hands after her mother does. Gabriella is displaying __________.

• A. reinforcement
• B. classical conditioning
• C. observational learning
• D. adaptation

Correct answer: C

Rationale: Observational learning is when an individual learns by watching others and mimicking their actions or behaviors. In this scenario, Baby Gabriella claps her hands after her mother does, indicating she is learning through observing her mother's behavior and imitating it. The other choices are incorrect: Reinforcement typically involves a consequence that strengthens a behavior, classical conditioning is a type of learning where an association is made between two stimuli, and adaptation refers to the process of adjusting to new conditions.

5. The concept of ________ means that because of their genetic makeup, individuals differ in their responsiveness to qualities of the environment.

• A. gene-environment interaction
• B. niche-picking
• C. passive correlation
• D. evocative correlation

Correct answer: A

Rationale: The correct answer is A, gene-environment interaction. This concept highlights that genetic factors play a role in how individuals react to environmental factors. Niche-picking (choice B) refers to the tendency of individuals to select environments that complement their genetic predispositions, not the inherent genetic differences in responsiveness. Passive correlation (choice C) involves the association between the genetic makeup of parents and the environment they provide for their children, not individual differences in responsiveness. Evocative correlation (choice D) relates to the idea that an individual's genetic traits can elicit certain responses from others in the environment, rather than individual differences in responsiveness.

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