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. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

3. The yolk sac __________.

• A. forms during the third trimester of pregnancy
• B. is the outer ring of cells that surrounds the blastocyst Copyright © 2018 Laura E. Berk. All Rights Reserved. 3 Test Bank for Berk, Development Through the Lifespan, 7e
• C. produces blood cells until the organs are mature enough to take over this function
• D. contains one large vein that delivers blood loaded with nutrients and two arteries that remove waste Answer: C Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: C

Rationale: The yolk sac is an extraembryonic membrane that plays a significant role in the early development of the embryo. One of its functions is to produce blood cells until the organs are mature enough to take over this function. This process occurs during the early stages of prenatal development to support the growing embryo before it can sustain itself independently.

4. Nine-year-old Krista gives part of her allowance to charity and collects canned goods for the food bank through her scout troop. Krista is developing __________.

• A. pride
• B. empathy
• C. guilt
• D. inferiority

Correct answer: B

Rationale: The correct answer is B: empathy. Empathy is the ability to understand and share the feelings of others, which is a crucial social development in childhood. In this scenario, Krista's actions of giving to charity and collecting goods for the food bank demonstrate her growing empathy towards those in need. Choice A, pride, does not capture the essence of understanding and sharing others' feelings. Choice C, guilt, is not appropriate as there is no indication that Krista feels guilty about her actions. Choice D, inferiority, is unrelated to the positive behavior displayed by Krista.

5. During her labor, Renee asks for a mild dose of painkillers to help her relax. Renee will probably be given __________.

• A. an anesthetic
• B. an analgesic
• C. folic acid
• D. an anti-inflammatory medication Answer: B Page Ref: 97 Skill Level: Apply and any dangers associated with each. Topic: Medical Interventions Difficulty Level: Moderate

Correct answer: B

Rationale: Renee will likely be given an analgesic during her labor to help manage her pain and provide relaxation. Analgesics are painkillers that can help reduce pain without causing loss of consciousness, making them suitable for labor pain management. Examples of analgesics commonly used during labor include opioids like morphine and non-opioids like acetaminophen.

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