HDEV 3rd Edition by Spencer A. Rathus – Test Bank
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Sample Test
Chapter 3—Birth and the Newborn Baby: In the New World
MULTIPLE CHOICE
1. What
are “Braxton-Hicks” contractions?
2. contractions
that signal the beginning of the delivery process
3. false
labor contractions that can begin as early as the sixth month of pregnancy
4. contractions
that signal that the birth will be premature
5. contractions
the baby makes because of having the hiccoughs
ANS:
B
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
2. The
word ________ refers to the typical period from conception to childbirth that
lasts about 9 months.
3. episiotomy
c.
neonatum
4. fetotypical
d. term
ANS:
D
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
3. The
________ is the narrow lower end of the uterus, though which the baby passes as
it enters the vagina during labor.
4. vulva
c. Braxton
5. cervix
d. labium
ANS:
B
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
4. A day
or so prior to the beginning of labor:
5. all
women experience a rush of warm liquid from the vagina.
6. blood
will begin appearing in vaginal secretions as a warning sign.
7. the
amniotic sac usually ruptures.
8. women
often experience indigestion, diarrhea, backaches, and cramps.
ANS:
D
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
01-01 MSC: TYPE: Factual
5. Nora
is at the end of her pregnancy. Which of the following events signals the
beginning of childbirth?
6. regular
uterine contractions
c. the
rupture of the amniotic sac
7. the
dislodging of the mucous plug
d.
Braxton-Hicks contractions
ANS:
A
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ: 3-1
MSC: TYPE: Application
6. Which
of the following does NOT occur just before the beginning of childbirth?
7. lightening
8. mucus
tissues from the cervix becomes dislodged
9. the
placenta and uterus secrete prostaglandins
10.
the cervix becomes effaced and dilated
ANS:
D
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
7. How
is labor initiated?
8. Time
alone determines this.
9. by
the release of oxytocin from the mother’s brain
10.
by the secretion of pitocin from the mother’s endocrine system
11.
by the secretion of hormones by the fetus
ANS:
D
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
8. The
chemicals that trigger the beginning of labor are
9. oxytocins
c.
prostaglandins
10.
alpha fetoproteins
d.
corticosteroids
ANS:
C
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
9. Which
of the following is the best synonym for the word “effaced?”
10.
thin
c.
thick
11.
long
d. complex
ANS:
A
DIF:
A
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Conceptual
10.
Contractions strong enough to expel the baby are caused by:
11.
the weight of the child.
12.
the release of oxytocin from the mother’s pituitary gland.
13.
the secretion of hormones by the adrenal and pituitary glands of
the fetus.
14.
We do not know what causes strong labor contractions.
ANS:
B
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
11.
Developmentalists usually categorize labor into ____ stages.
12.
two
c. four
13.
three
d. five
ANS:
B
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
12.
Wilma is currently in labor, as she gets ready to deliver her
baby. She is in the longest stage of labor, which is marked by uterine
contractions and changes to her cervix. Which stage of labor is Wilma
experiencing?
13.
The first stage
c. The
third stage
14.
The second stage
d. The fourth
stage
ANS:
A
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Application
13.
Fetal monitors are electronic sensing devices used to measure all
but which of the following?
14.
fetal heart rate.
15.
duration and strength of mother’s contractions.
16.
fetal distress.
17.
movement of the fetus through the birth canal
ANS:
D
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
14.
Why would a woman have an episiotomy during childbirth?
15.
to reduce her pain during labor
16.
to prevent an involuntary bowel movement during labor to widen
the vaginal opening
17.
to facilitate faster healing in the weeks after labor
18.
to widen the vaginal opening
ANS:
D
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Conceptual
15.
Which of the following events takes place when the process of
“transition” occurs during childbirth?
16.
The cervix is effaced and dilated to 5 centimeters.
17.
The woman is now beginning the first stage of the birth process.
18.
The amniotic sac has ruptured
19.
The head of the fetus is moving into the vagina from the uterus.
ANS:
D
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
16.
The second stage of childbirth:
17.
ends when the woman is ready to “push” during contractions.
18.
ends with the birth of the baby.
19.
usually lasts only a few minutes.
20.
ends when the cervix is effaced and dilated to 10 centimeters.
ANS:
B
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
17.
When the baby has “crowned,” what has happened?
18.
It has turned and is now head down in the uterus.
19.
The baby’s head has started to emerge from the birth canal.
20.
The baby is being born feet first.
21.
The baby is stuck in the birth canal.
ANS:
B
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
18.
Which of the following is true of the practice of performing an
episiotomy during childbirth?
19.
It is an essential part of the delivery process.
20.
It is more common with second and later pregnancies.
21.
It is controversial and rates have declined over time.
22.
It is never necessary and should never be used.
ANS:
C
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
19.
When is an episiotomy most likely to be performed?
20.
during the second stage of the birthing process
21.
if the fetal heartbeat drops for an extended period of time
22.
when the infant is too large to be born without tearing the area
between the mother’s birth canal and anus.
23.
all of these conditions are likely to prompt an episiotomy
ANS:
D
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
20.
Brenda is in the second stage of labor. What is the best
predictor of whether her doctor will perform an episiotomy?
21.
the length of time Brenda has been in labor
22.
whether Brenda’s baby is in distress
23.
whether the doctor usually performs an episiotomy
24.
whether or not Brenda has decided to use anesthesia
ANS:
C
DIF:
Difficult
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Application
21.
Todd is very excited for the birth of his first son, but he
thinks that the area where the umbilical cord was cut looks a little “icky.”
Thankfully for Todd, the stump of the cord will dry up and fall off on its own
in about
22.
3 to 6 hours.
c. 7 to
10 days
23.
1 to 3 days
d. 2 to 3
weeks
ANS:
C
DIF:
Moderate
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Application
22.
To aid the newborn’s breathing:
23.
(s)he is slapped on the buttocks.
24.
(s)he is held upside down to expel mucus.
25.
suction is used to remove mucus from the baby’s mouth.
26.
an endotracheal tube is inserted in the child’s trachea.
ANS:
C
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
23.
Which of the following procedures happen soon after birth?
24.
The baby is given an injection of Vitamin C.
25.
The umbilical cord is clamped and severed.
26.
The baby is held upside down and slapped on the buttocks.
27.
The baby is put on a heart rate monitor.
ANS:
B
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
24.
What is the key event of the third stage of childbirth?
25.
The child is finally delivered.
26.
The placenta separates from the uterine wall and is expelled.
27.
The fetus moves into position to begin the final delivery
process.
28.
The newborn is given a vitamin K injection.
ANS:
B
DIF:
Moderate REF:
3-1 The Stages of Childbirth
OBJ:
3-1
MSC: TYPE: Factual
25.
The use of a(n) ________ to assist a pregnant woman with
childbirth is followed in many less developed nations, but is only rarely opted
for in the United States and other developed countries.
26.
physician
c.
midwife
27.
doula
d. certified
nurse practitioner
ANS:
C
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
26.
What is the most common birthing method in the U.S.?
27.
delivery at a hospital
c. It
depends on the ethnicity of the mother.
28.
use of a midwife
d. It depends
on the age of the mother.
ANS:
A
DIF:
Easy REF:
3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
27.
Which of the following is true about the use of anesthesia
during delivery in the United States?
28.
The majority of women choose general anesthetics.
29.
The most common anesthetic used is Valium.
30.
Anesthetics are hardly ever used during delivery.
31.
Some anesthesia is used in most U.S. deliveries.
ANS:
D
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
28.
In the United States today, which of the following is true of
the use of drugs (anesthetics, narcotics, etc.) during childbirth?
29.
They are rarely used.
30.
They are used less commonly today than 20 years ago.
31.
They cannot cross the placental membrane and affect the neonate.
32.
Local anesthesia has not been found to have lasting effects on
neonates.
ANS:
D
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
29.
Anya was given an injection into her spinal canal, which
temporarily numbed her body below the waist. What type of anesthesia was Anya
given?
30.
local anesthesia
c. a
tranquilizer
31.
general anesthesia
d. a
barbiturate
ANS:
A
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
30.
Maya has decided for the use of anesthesia in order to reduce
the pain she will experience when giving birth. She opts for a ________ block,
which will involve an injection to her external genitals.
31.
pudendal
c.
epidural
32.
labial
d. spinal
ANS:
A
DIF:
Difficult
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
31.
Another term for a newborn is:
32.
neonate.
c.
full-term.
33.
zygote. d. neophyte.
ANS:
A
DIF:
Easy
REF: 3-1 The Stages of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
32.
A neonate is lethargic and less responsive than would be
expected. Which of the following may have occurred?
33.
The mother experienced a longer than normal labor.
34.
The mother was given general anesthesia during delivery.
35.
The mother experienced a faster than normal labor.
36.
The mother smoked during the pregnancy.
ANS:
B
DIF:
Difficult
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
33.
Which of the following is true about research on the effects of
medications given to the mother during delivery?
34.
It is clear that they permanently damage the newborn.
35.
There is no compelling evidence that they impact the newborn
negatively.
36.
It is unclear how much they impact the newborn.
37.
The effects appear to depend upon the age of the mother.
ANS:
C
DIF:
Difficult
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Conceptual
34.
Which of the following is used in “prepared childbirth?”
35.
the Lamaze method
c.
tranquilizers
36.
local anesthetics
d. general
anesthetics
ANS:
A
DIF:
Easy
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
35.
Which method of childbirth utilizes breathing and relaxation
exercises during delivery to reduce the fear and pain associated with
childbirth?
36.
The Apgar method
c. The
Werth method
37.
The Brazelton method
d. The Lamaze
method
ANS:
D
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
36.
When it comes to childbirth, what does the term “coach” mean?
37.
someone who is integrated into the birthing process with the
mother
38.
The term is only used if the biological father is present.
39.
the person who teaches the Lamaze classes
40.
a medical assistant assigned to work with the mother-to-be
during delivery
ANS:
A
DIF:
Easy REF:
3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
37.
Which of the following appears to be true about the use of the
Lamaze method?
38.
It has no apparent impact on the birthing process
39.
It is associated with less pain and less need for medication
during childbirth
40.
It completely eradicates pain during the birthing process
41.
It is commonly used in Europe, but not in the United States
ANS:
B
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
38.
A female companion present during the birthing process to
provide emotional support to the mother is called:
39.
a doula.
c. a
cesarean.
40.
a midwife.
d. an
epidural.
ANS:
A
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
39.
Which of the following is an argument that some make in favor of
using midwives instead of traditional medicine for their birthing experience?
40.
modern medicine has led to an increase in preterm births
41.
modern medicine has led to a decreased use of medically
necessary episiotomies
42.
modern medicine has led to a decreased use of cesarean section
deliveries
43.
modern medicine is less personal of an experience
ANS:
D
DIF:
Easy
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Conceptual
40.
Research shows that:
41.
doulas reduce complications during the delivery process.
42.
midwives reduce complications during the delivery process.
43.
having a partner present can reduce complications during the
delivery process.
44.
all of these have been shown
ANS:
D
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
41.
The number of cesarean section births increased from ____ in
1979 to ____ in 2010.
42.
21%; 33%
c. 18%;
29%
43.
5%; 39%
d. 10%; 39%
ANS:
A
DIF: Difficult
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
42.
Which of the following is true about C-section births?
43.
They are unnecessary.
44.
They are done in the majority of births in the U.S.
45.
They can prevent transmission of the viruses that cause genital
herpes and AIDS.
46.
They are more likely to result in birth defects.
ANS:
C
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Factual
43.
Which of the following is a reason why C-section deliveries are
performed?
44.
The baby is unusually small.
45.
The baby who is being born headfirst.
46.
The mother wants to control the time of the delivery.
47.
To reduce anxiety during the delivery process.
ANS:
C
DIF:
Difficult
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Conceptual
44.
Margie is a mother who is HIV-positive. If she wants to reduce
the risk of transmitting HIV to her baby,
45.
she should elect for a Cesarean delivery.
46.
she should elect for a vaginal delivery.
47.
she should not use any anesthetics.
48.
she should ask her doctor for an episiotomy.
ANS:
A
DIF:
Moderate
REF: 3-2 Methods of Childbirth
OBJ:
3-2
MSC: TYPE: Application
45.
Which of the following terms means “without oxygen?”
46.
toxemia
c.
plastemia
47.
anoxia
d. hypoxia
ANS:
B
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
46.
Which of the following terms is derived from roots that mean
“under” and “oxygen”?
47.
toxemia
c.
plastemia
48.
anoxia
d. hypoxia
ANS:
D
DIF: Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
47.
Hypoxia has been associated with:
48.
Klinefelter syndrome
c.
Turner syndrome
49.
cerebral palsy.
d. Down
syndrome.
ANS: B
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
48.
Talis was born two hours ago in the “ breech” position. What
part of his body emerged from the birth canal first?
49.
his bottom
c. his
shoulder
50.
his head
d. his hip
ANS:
A
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
49.
Early-onset schizophrenia may be associated with:
50.
oxygen deprivation during delivery.
51.
a bacterial infection during fetal development.
52.
Rh-incompatibility.
53.
Cesarean delivery.
ANS:
A
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
50.
Why is it that a baby born in the breech (bottom-first) position
has a greater chance of suffering from hypoxia?
51.
Because the baby’s mouth and nose will be available to be
suctioned of mucous until later in the delivery.
52.
Because the baby’s body may press against the umbilical cord
during delivery.
53.
Because the baby’s mouth and nose may be obstructed when the
placenta presses against them.
54.
Because the cervix takes longer to dilate during a breech
delivery, and this can restrict oxygen to the baby.
ANS:
B
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Conceptual
51.
Which of the following newborns would be considered a “low birth
weight” baby?
52.
Dora, who is 19 inches long.
53.
Jake, who is 8.75 pounds
54.
Pepe, who is 5.0 pounds
55.
Johnny, who is born at 35 weeks of gestational age
ANS:
C
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
52.
A baby is considered premature:
53.
if birth occurs at or before 37 weeks of gestation.
54.
if the newborn weighs less than 5 pounds.
55.
if birth occurs at or before 40 weeks of gestation.
56.
it the child is born before the mother gets to the hospital.
ANS:
A
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
53.
A neonate who weighs between 3.5 and 5.5 pounds at birth is
_____ times more likely to die than a baby who is born at normal weight.
54.
7
c. 3
55.
5
d. 2
ANS:
A
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
54.
David was born about 7 weeks before term. Which of the following
physical features is he likely to display?
55.
His eyelids will not yet have the ability to open.
56.
He will not yet have developed a penis.
57.
His testicles will be situated very low in his scrotum.
58.
His nipples will not have emerged.
ANS:
D
DIF: Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
55.
In a research study by Jeng and colleagues (2000), what
percentage of full-term infants were walking by 18-months of age?
56.
25% c.
75%
57.
50%
d. 100%
ANS:
D
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
56.
In a research study by Jeng (2000), the median age at which VLBW
infants began to walk was:
57.
the same as full-term infants.
c. two
months later than full-term infants.
58.
two months earlier than full-term infants.
d. four
months later than full-term infants.
ANS:
C
DIF: Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
57.
The degree of deficits and potential to overcome the deficits
associated with prematurity:
58.
can be predicted with great accuracy.
59.
appear to depend upon how premature the child is.
60.
are greater for second and subsequent births than for first-born
children.
61.
are greater for boys than for girls.
ANS:
B
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
03-03 MSC: TYPE: Application
58.
In which of the following countries is it statistically the
safest for a mother to deliver her baby, in terms of the risks of maternal
and/or neonatal death?
59.
Japan
c. The
United States of America
60.
England
d. Greece
ANS:
D
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
59.
In which of the following countries would you find the lowest
rate of maternal use of modern contraception?
60.
Poland
c.
India
61.
Afghanistan
d. Italy
ANS:
B
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
60.
In a Save the Children study conducted in 2011, the country
Afghanistan was found to have the lowest of all but which of the following?
61.
Percentage of women using modern contraception
62.
Lifetime risk of maternal mortality
63.
Expected number of years of female schooling
64.
Life expectancy for females at birth
ANS:
B
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
61.
What is lanugo?
62.
a Latin term for prematurity
63.
a white oily substance that covers the skin of some newborns
64.
a fine downy hair that covers the skin of some newborns
65.
a breathing problem in premature infants
ANS:
C
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
62.
What is vernix?
63.
a white oily substance that covers the skin of some newborns
64.
a Latin term for prematurity
65.
a fine downy hair that covers the skin of some newborns
66.
a breathing problem in premature infants
ANS:
A
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
63.
Which of the following is a known complication that often
appears in preterm infants?
64.
a weak sucking reflex.
c. an
absence of vernix at birth
65.
higher than normal body temperature. d. an interchange of
ovaries and testicles
ANS:
A
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
64.
What is respiratory distress syndrome?
65.
a set of breathing problems likely to affect premature infants
66.
a breathing disorder mothers sometimes develop during pregnancy
67.
a breathing disorder likely to affect high birth weight infants
68.
a breathing disorder that sometimes develops in infants during
delivery
ANS: A
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
65.
Why would it be potentially problematic to give a premature
infant too much oxygen?
66.
It can cause chronic gum problems.
67.
It is associated with abnormal limb development.
68.
It can lead to cystic fibrosis.
69.
It can cause permanent eye injury.
ANS:
D
DIF:
Difficult
REF: 3-3 Birth problems
OBJ:
3-3
MSC: TYPE: Conceptual
66.
Maggie and Ben’s preterm baby has been diagnosed as having
respiratory distress syndrome. Which of the following is true regarding
respiratory distress syndrome?
67.
It is due to maternal exposure to teratogens during pregnancy.
68.
The baby’s muscles may not be mature enough to sustain
independent breathing.
69.
The air sacs in the baby’s lungs are over-lubricated, making
breathing difficult.
70.
It is due to anoxia during delivery.
ANS:
B
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
67.
Injecting women at risk for delivering a preterm baby with ____
increases the baby’s chances for survival.
68.
corticosteroids
c.
folic acid
69.
Vitamin K
d. a local anesthetic
ANS:
A
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
68.
Which of the following children is most likely to show the
greatest cognitive deficits and developmental delays?
69.
a baby born at or before 37 weeks of gestation
70.
A baby born with vernix on its body.
71.
a child weighing less than 3.3 pounds
72.
A baby born 2 weeks after normal gestational period.
ANS:
C
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Application
69.
What does the research say regarding parental behavior towards
preterm infants?
70.
Parents tend to hold them less for fear of hurting them.
71.
Parents tend to respond to them in a highly sensitive way and
interact with them frequently.
72.
Parental behavior depends upon the sex of the child.
73.
There is no consistency in the research on this issue.
ANS:
A
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
70.
How should preterm babies be handled?
71.
Current thinking is to handle them as little as possible.
72.
They should not for the first two weeks of life because they are
so susceptible to injury.
73.
Research now shows that preterm infants benefit from stimulation
such as cuddling and rocking.
74.
Research shows that how you handle them does not matter.
ANS:
C
DIF:
Easy
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Conceptual
71.
Which of the following is least likely to be responsible for the
death of a child?
72.
measles
c.
malaria
73.
pneumonia
d. AIDS
ANS:
A
DIF:
Difficult
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Factual
72.
Preterm babies:
73.
tend to be held more by their mothers.
74.
are less likely to be abused later in childhood.
75.
tend to be more aggressive and sociable than full-term infants.
76.
may invoke feelings of failure and guilt in their mothers.
ANS:
D
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3
MSC: TYPE: Conceptual
73.
What has research shown about the effects of exposing preterm
babies to stimulation such as massage and/or kangaroo care?
74.
They actually caught up to and then surpassed full-term infants
in both physical and cognitive development in a majority of cases.
75.
The infants show weight gains, fewer respiratory problems, and a
variety of advances.
76.
Their intellectual functioning matched full-term babies at a
2-year follow-up.
77.
They were 50% less likely to develop a mental illness by the age
of 18 years.
ANS:
B
DIF:
Moderate
REF: 3-3 Birth Problems
OBJ:
3-3 MSC:
TYPE: Factual
74.
According to the American Psychiatric Association (2000), about
____ percent of new mothers report experiencing postpartum blues:
75.
30
c. 70
76.
50
d. 90
ANS:
C
DIF:
Difficult
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Factual
75.
Nicole recently had her first child. Afterwards, she felt
somewhat depressed for about 10 days, after which, she felt like her old self
again. Which of the following is true?
76.
Nicole had postpartum depression (PPD).
77.
Nicole experienced a “break with reality” due to PPD.
78.
What Nicole experienced is unusual because most new mothers only
experience positive emotions.
79.
Nicole likely had the baby blues.
ANS: D
DIF:
Easy
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Application
76.
How do postpartum blues and postpartum depression differ?
77.
They are the same.
c. They
involve entirely different symptoms.
78.
The blues are more severe.
d. Postpartum
depression is more severe.
ANS:
D
DIF:
Easy
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Conceptual
77.
Postpartum depression is thought to be caused by:
78.
an increased surge of estrogen following birth.
79.
a combination of psychological and physiological factors.
80.
an increase in hormone production due to breast-feeding.
81.
poor parenting skills.
ANS:
B
DIF: Difficult
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Factual
78.
A new mother is experiencing a break with reality and is having
hallucinations. What may be wrong?
79.
postpartum blues
80.
postpartum depression
81.
postpartum depression with psychotic features
82.
preeclampsia
ANS:
C
DIF:
Easy
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Application
79.
According to the American Psychiatric Association (2000), postpartum
mood episodes are accompanied by psychotic features in:
80.
1 in 100 women.
81.
10 in 100 women.
82.
1 in 500 women.
83.
1 in 500 women and/or men, as new fathers have been found to
have depressive episodes featuring psychotic tendencies as well.
ANS: C
DIF:
Moderate
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Factual
80.
Of mothers who experience postpartum depression with psychotic
features, some have delusions called ____ that they should kill their
child.
81.
command hallucinations
c.
sadistic hallucinations
82.
critical hallucinations
d. deviant
hallucinations
ANS:
A
DIF:
Difficult
REF: 3-4 The Postpartum Period
OBJ: 3-4
MSC: TYPE: Factual
81.
Women who experience PPD:
82.
generally have low self-esteem.
83.
benefit from drugs that lower estrogen levels.
84.
never recover from it.
85.
can benefit from social support and counseling.
ANS:
D DIF:
Easy
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Conceptual
82.
In their landmark research in the 1970s, Klaus and Kennell found
that extended contact between mothers and their babies shortly after birth
83.
was unimportant to parent-infant bonding.
84.
resulted in differences in mother-infant interactions two years
later.
85.
was related to social and cognitive differences in the children
at age 5.
86.
was important for boy infants but unimportant for girl infants.
ANS:
B
DIF:
Moderate
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Factual
83.
Does early maternal contact soon after birth influence bonding?
84.
no, the infants are too young to know the difference
85.
yes, but only if the baby is full-term
86.
no, and it may be harmful to the infant
87.
yes, but it is just one element in a complex bonding process.
ANS:
D
DIF:
Moderate
REF: 3-4 The Postpartum Period
OBJ:
3-4
MSC: TYPE: Conceptual
84.
How is neonatal overall level of health typically assessed?
85.
using the Apgar scale
c.
using the Neonatal inventory
86.
using the Hadlar scale
d. using the
Bornstein inventory
ANS: A
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
85.
Which of the following is not assessed with the Apgar scale?
86.
pulse
c.
brainwave activity
87.
muscle tone d.
grimace
ANS:
C
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
86.
Which of the following is the best Apgar score?
87.
10
c. 5
88.
7
d. 1
ANS:
A
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
87.
Leilani and Marquis have just had a baby girl. The doctor has
performed an Apgar assessment. Which score would be a reason for the new
parents to be the most concerned?
88.
75
c. 15
89.
40
d. 3
ANS:
D
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Application
88.
How soon after birth do most normal babies attain high Apgar
scores?
89.
There is no consistency c. usually not before 10 minutes
90.
within approximately 1 minute
d. within 24
hours
ANS:
B
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
89.
What would Dr. Magilicutty be assessing if he was using the
Brazelton Scale to evaluate a child?
90.
neonate reflexes and other behavior patterns
91.
physiological measures such as heart rate
92.
the color tone of the skin of a newborn
93.
neonatal muscle tone
ANS:
A
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Application
90.
The Brazelton Neonatal Behavioral Assessment Scale measures
newborns on all but which of the following dimensions?
91.
control over physiological state c. motor behavior
92.
response to stress
d. grimaces
ANS:
D
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
91.
Simple, unlearned, and stereotypical responses to certain types
of stimulation are:
92.
instincts.
c.
conditioned reactions.
93.
reflexes.
d. Babinskis.
ANS:
B
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
92.
Which of the following is true about infantile reflexes?
93.
They all disappear within six months after birth.
94.
They tend to be unnecessary but exist anyway.
95.
Some of them have survival value.
96.
They all remain present for life.
ANS:
C
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
93.
With the rooting reflex:
94.
the baby turns the head and mouth toward the stimulus that
strokes the cheek.
95.
the baby sucks at any object that touches the mouth.
96.
the baby voluntarily seeks out objects to suckle.
97.
the baby arches its back and flings its arms out to the side
when the baby is startled by a loud noise.
ANS:
A
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
94.
If you change a baby’s position, and the infant’s reaction is to
arch the back, fling the arms and legs out, and then bring them back toward the
chest, what reflex has occurred?
95.
The grasping reflex
c. The
palmar reflex
96.
The Moro reflex
d. The
rooting reflex
ANS: B
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
95.
With the palmar reflex:
96.
the child grasps objects pressed against the inside of his/her
hand with four fingers.
97.
the child shows a startle response in reaction to sudden changes
in position.
98.
the child voluntarily reaches for and grasps objects.
99.
the child moves his/her head in the direction of sounds.
ANS:
A
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
96.
When the neonate fans her toes in response to stroking of the
foot from heel to toes, this is called the:
97.
Moro reflex
c.
tonic-foot reflex
98.
Babinski reflex d.
fencing position
ANS:
B
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
97.
Which of the following children is most likely to remain on
their tiptoes when demonstrating the stepping reflex?
98.
Rick, who was born at full term
99.
Nick, who was a preterm infant
100.
Mick, whose mother suffered from toxemia
101.
Vick, who was born in the Philippines
ANS:
B
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Application
98.
Marika has recently stopped demonstrating a Babinski reflex. How
old is she?
99.
3 months
c. 1
year
100.
6 months
d. 2 years
ANS:
C
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Application
99.
With the tonic-neck reflex:
100.
the neonate fans or spreads his/her toes in response to his/her
foot being stroked from heel to toes.
101.
the baby will show stepping motions if he/she is supported under
the arms and his/her feet are pressed against the ground.
102.
the baby turns his/her head to one side, extends his/her arm and
leg on that side, and flexes his/her limbs on the opposite side.
103.
the neonate curls his/her toes downward in response to stroking
his/her foot from heel to toes.
ANS:
C
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
100.
Which famous psychologist described the world of the neonate as,
“one great blooming, buzzing confusion?”
101.
Francis Cecil Sumner
c.
William James
102.
Erik Erikson
d. Anton
Mesmer
ANS:
C
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
101.
What is the visual acuity of the newborn?
102.
Newborns are blind for the first few weeks of life.
103.
20/20, unless there are problems with their eyes
104.
They can see things clearly up to 20 feet away.
105.
Newborns are nearsighted at birth and see things best that are 7
to 9 inches from their eyes.
ANS:
D
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
102.
In terms of visual tracking:
103.
many neonates can track objects the first day after birth.
104.
it requires several weeks of experience.
105.
it depends upon how stimulated the neonate was in the womb.
106.
it will not develop for several months after birth.
ANS:
A
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
103.
Neonates are often born without which of the following visual
capabilities?
104.
tracking
105.
the ability to actively search the visual field
106.
visual accommodation
107.
the ability to see, as this develops across the first months
ANS:
C
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5 MSC:
TYPE: Factual
104.
By what age does convergence usually appear as a visual skill of
a baby?
105.
2 to 3 days
c. 7 to
8 weeks
106.
2 to 3 weeks
d. 7 to 8
months
ANS:
C
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
105.
In comparison to visual acuity in the neonate, hearing:
106.
is less highly developed.
c. is
considerably more developed.
107.
develops at a slower pace. d.
varies greatly from infant to infant.
ANS:
C
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Conceptual
106.
Newborns show preference for which of the following?
107.
sounds that are very low in pitch
108.
the voices of their fathers
109.
loud sounds
110.
sounds of speech they have heard before and their mother’s voice
ANS:
D
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
107.
If you were listening to a sound that had a high amplitude, how
would that sound be best described?
108.
it would be very loud sound
c. it
would be a very soft sound
109.
it would be a very “grating” sound d.
it would be a very soothing sound
ANS:
A
DIF:
2
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Application
108.
What is the advantage to a newborn of having the senses of
hearing and smell?
109.
They may assist in the attachment process.
110.
Having these senses means that energy can be spent developing
other abilities.
111.
There are no real advantages.
112.
They will speed up how quickly the infant can leave the
hospital.
ANS: A
DIF:
Moderate
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Conceptual
109.
Which of the following taste profiles tends to have a calming
effect on infants?
110.
sour flavors c.
salty flavors
111.
bitter flavors
d. sweet
flavors
ANS:
D
DIF:
Easy
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Factual
110.
How can a neonate be taught to blink in response to a tone?
111.
through classical conditioning
112.
through observational learning
113.
through social learning
114.
Infants cannot be taught to blink in response to a tone.
ANS:
A
DIF:
Difficult
REF: 3-5 Characteristics of Neonates
OBJ:
3-5
MSC: TYPE: Conceptual
111.
If we reinforce an infant for engaging in a behavior, what kind
of learning approach are we utilizing?
112.
classical conditioning
c.
operant conditioning
113.
observational learning
d. social
learning
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