ATI RN
Growth and Development Exam
1. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?
- A. Chloe, a Caucasian American
- B. Latima, an African American
- C. Yvonne, a Native American
- D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate
Correct answer: C
Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.
2. In the eighth month of pregnancy, what typically happens?
- A. fetal growth doubles
- B. neuron production increases
- C. the eyes, ears, nose, jaw, and neck form
- D. lanugo typically is shed
Correct answer: D
Rationale: In the eighth month of pregnancy, lanugo typically is shed. Lanugo is the fine, downy hair that covers a fetus's body to help regulate body temperature while in the womb. By the eighth month, many fetuses shed this hair as they prepare for birth. Choices A, B, and C are incorrect because fetal growth doubling, neuron production increasing, and the formation of eyes, ears, nose, jaw, and neck occur in earlier stages of pregnancy, not specifically in the eighth month.
3. During Irina's first week of pregnancy, __________.
- A. heart muscles begin to develop
- B. the zygote multiplies and forms a blastocyst
- C. a primitive brain and spinal cord appear
- D. the embryo can move
Correct answer: B
Rationale: During the first week of pregnancy, the zygote (fertilized egg) undergoes rapid cell divisions and forms a blastocyst. This is a crucial stage where the cells differentiate and specialize, setting the foundation for the development of the embryo. It is during this time that the zygote implants itself into the uterine wall, initiating the process of pregnancy. Choices A, C, and D are incorrect because during the first week of pregnancy, the focus is on the initial development and multiplication of the zygote, not on the development of heart muscles, a primitive brain and spinal cord, or the embryo's ability to move.
4. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.
- A. intimacy
- B. ego identity
- C. ego integrity
- D. initiative
Correct answer: C
Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.
5. Sigmund Freud constructed his psychosexual theory __________.
- A. on the basis of his adult patients' memories of painful childhood events
- B. by conducting studies of animal behavior
- C. on the basis of interviews with institutionalized children and adolescents
- D. by carefully observing his own children
Correct answer: A
Rationale: Sigmund Freud constructed his psychosexual theory on the basis of his adult patients' memories of painful childhood events. Freud believed that events in early childhood had a significant impact on an individual's development and personality. He used his patients' recollections of childhood experiences to develop his theories on psychosexual development. Choice B is incorrect as Freud did not base his theory on studies of animal behavior. Choice C is incorrect as Freud's theory was not solely based on interviews with institutionalized children and adolescents. Choice D is incorrect as Freud did not construct his theory by observing his own children.
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