Nursing Elites

1. When Reggie takes his baby son, Tyson, to his workplace for the first time, Reggie's assistant abruptly picks Tyson up and walks around the office. Tyson cries and reaches out for Reggie. Tyson is expressing __________.

• A. sadness
• B. stranger anxiety
• C. separation anxiety
• D. disgust

Correct answer: B

Rationale: Tyson is experiencing stranger anxiety in this situation. Stranger anxiety is a common response in infants when they are exposed to unfamiliar people, causing distress and prompting the infant to seek comfort and familiarity, usually from their primary caregiver. This aligns with Tyson crying and reaching out for Reggie, as he is showing signs of discomfort and wariness towards the assistant, who is a stranger to him. Choice A, sadness, does not fit the scenario as Tyson's reaction is more related to fear and discomfort rather than sorrow. Choice C, separation anxiety, is not the correct answer in this context as separation anxiety pertains to distress when separated from a primary caregiver, not when encountering unfamiliar individuals. Choice D, disgust, is also not applicable as Tyson's behavior is not based on revulsion but rather on being in an unfamiliar and distressing situation.

2. Dana is pregnant with her first child and wonders how much weight she should gain during the pregnancy. You should recommend a healthy diet that results in a weight gain of __________ pounds.

• A. 10 to 15
• B. 15 to 20
• C. 25 to 30
• D. 35 to 40

Correct answer: C

Rationale: The recommended weight gain during pregnancy depends on the pre-pregnancy weight of the mother. For a woman with a normal pre-pregnancy BMI, the recommended weight gain is typically between 25 to 30 pounds. This range is considered healthy to support the growth and development of the baby while also maintaining the mother's health. Choices A, B, and D are incorrect as they represent weight gain ranges that are either too low or too high for a woman with a normal pre-pregnancy BMI, which could pose health risks for both the mother and the baby. It is crucial to adhere to healthcare professionals' guidelines to ensure a healthy pregnancy and birth outcome.

3. Vygotsky saw ______ play as the ideal social context for fostering cognitive development in early childhood.

• A. make-believe
• B. sensorimotor
• C. block
• D. parallel

Correct answer: A

Rationale: Vygotsky viewed make-believe play as the ideal social context for fostering cognitive development in early childhood. Make-believe play encourages children to explore various roles and scenarios, promoting cognitive and social development. Sensorimotor play focuses on physical interactions with the environment, while block play involves building and construction activities. Parallel play refers to children playing alongside each other without direct interaction, which is not the type of play Vygotsky emphasized for cognitive development.

4. 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.

5. Erikson believed that successful resolution of intimacy versus isolation prepares the individual for the middle adulthood stage, which focuses on __________.

• A. initiative
• B. autonomy
• C. generativity
• D. industry

Correct answer: C

Rationale: Erikson's theory of psychosocial development highlights generativity as the central focus of middle adulthood. Generativity involves being productive, caring for others, and contributing to society. This stage is characterized by a desire to leave a lasting impact on future generations. Choices A, B, and D are incorrect. Initiative is associated with the preschool years, autonomy with early childhood, and industry with middle childhood according to Erikson's stages of development.

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