Chapter 4,5,6,7. Children
The birth process occurs in stages
3
The stage of the birth process is the longest one
first
Which of the following is a feature of the first stage of birth?
Contractions causing the cervix to stretch and dilate to about 4 inches
At which stage of the birth process is the amniotic sac most likely to rupture?
Stage one
The second stage of birth begins when the:
baby’s head starts to move through the cervix and the birth canal
The___________birth stage terminates when baby completely emerges from the mother’s
second
The major activity of the third birth stage is the:
expulsion of the placenta, umbilical cord, and other membranes
Which of the following statements is true about the third stage of birth?
It lasts only 10 min
Compared with physicians, certified nurse-midwives generally:
provide more emotional support
are drugs that are used to relieve pain
Analgesics
Katy, who is expecting her first baby, is in the 42nd week of her pregnancy. Her doctor has recommended that she be given _______to induce
oxitocics
Katy, who is expecting her first baby, is in the 42nd week of her pregnancy. Her doctor has recommended that she be given to induce
oxytocics
Which of the following is true with regard to anesthesia?
General anesthesia can be transmitted to the fetus through the placenta.
Keesha is very keen on staying alert and conscious throughout the delivery process but she is experiencing a lot of pain during her labor. Her doctor suggests that the best option for her would be to receive a(n) to relieve her pain and retain awareness throughout the
analgesic
Oxytocin is a synthetic hormone that
stimulates contractions
Which of the following is a current trend seen in the use of medication for childbirth in the United States?
Which of the following is a current trend seen in the use of medication for childbirth in the United States?
There is moderate use of medication combined with techniques of natural or prepared
Natural childbirth is a method that was developed in 1914 by
Grantly Dick-Read
Natural childbirth aims to reduce the mother’s pain by:
reducing her fears and increasing her ability to relax
The prepared childbirth method, which involves a special breathing technique to control pushing in the final stages of labor, was developed by:
Ferdinand Lamaze
Natural childbirth and prepared childbirth are different from each other in that:
prepared childbirth focuses more on anatomy and physiology
Which of the following factors is not emphasized by prepared childbirth methods?
Medication
(Virtually all of the prepared childbirth methods emphasize education, relaxation and breathing exercises, and support)
Carlotta has just been told that her baby is in a breech position. This means that:
the baby’s potential respiratory problems need to be considered
The obstetrician has suggested that Whitney opt for a cesarean section to deliver her baby. Which of the following would be a good reason for Whitney’s doctor to recommend a cesarean section?
Whitney was experiencing severe vaginal bleeding
If the delivery takes too long, the baby can develop .
anoxia
During the birth process, the baby’s body secretes large quantities of to help the baby withstand the stress of birth.
adrenaline and noradrenaline
When babies are born, they are covered with a protective skin grease called:
vernix caseosa
Which of the following is thought to help protect the baby’s skin against heat loss before and during birth?
vernix caseosa
The Apgar Scale rates infants’ responses in the areas of heart rate, respiratory effort,__________
muscle tone, reflex irritability, and body color
Which of the following is used to assess the health of newborns at one and five minutes after birth?
The Apgar Scale
The Apgar Scale involves newborns receiving a score of 0, 1, or 2 on five health signs, with a score of at least required to assume that the newborn’s condition is good
7
A total Apgar score of indicates there may be developmental difficulties.
4-6
A total Apgar score of signals an emergency and indicates that the baby might not survive.
0-3
Which of the following measures of neonatal health and responsiveness is typically performed within 24 to 36 hours after birth?
Brazelton Neonatal Assessment Scale (NBAS) is used as a sensitive index of neurological competence up to one month after birth for typical infants and in many studies as a measure of infant development.
The Brazelton Neonatal Behavioral Assessment Scale is primarily used to determine a newborn’s:
neurological development, reflexes, and reactions to people
The Brazelton Neonatal Assessment Scale is typically performed:
within 24 to 36 hours after birth.
By the time Taylor reached the hospital toward the end of the 38th week of conception, her baby had already moved down the birth canal and a cesarean section could not be conducted. Taylor had an extremely difficult and prolonged labor as her baby was in breech position. After doctors had successfully delivered her baby, they had to wait a bit before the baby cried. The Brazelton Neonatal Behavioral Assessment Scale was conducted the next day and her baby obtained a very low score. Which of the following is true with regard to Taylor’s baby?
Taylor’s baby is highly likely to have experienced anoxia and related brain damage.
Which of the following instruments provides the most comprehensive analysis of the newborn’s behavior, neurological and stress responses, and regulatory capacities?
The Neonatal Intensive Care Unit Network Neurobehavioral Scale
(NNNS) provides a more comprehensive analysis of the newborn’s behavior, neurological and stress responses, and regulatory capacities. Whereas the NBAS was developed to assess normal, healthy, full-term infants, the NNNS was developed by T. Berry Brazelton, along with Barry Lester and Edward Tronick, to assess the “at- risk” infant
Which of the following differentiates between the Brazelton Neonatal Behavioral Assessment Scale (NBAS) and the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS)?
The NBAS was developed to assess normal, healthy, full-term infants, while the NNNS was developed to assess the “at-risk” infant.
A low birth weight infant weighs less than pounds at birth.
5.5
A very low birth weight infant weighs less than pounds at birth
3.5
An extremely low birth weight infant weighs less than pounds at birth
2.0
Kyle was born 34 weeks after conception and weighed about six pounds. He was a:
preterm baby
(Preterm infants are those born three weeks or more before the pregnancy has reached its full term—in other words, before the completion of 37 weeks of gestation (the time between fertilization and birth). Since Kyle was born 34 weeks after conception, he will be classified as a preterm infant.)
Babies are considered preterm if they are born:
before the completion of 37 weeks of gestation
In the developing world, low birth weight stems mainly from:
the mother’s poor health and nutrition
In developed countries, low birth weight stems mainly from:
cigarette smoking during pregnancy
Very preterm infants are those born:
between 28 and 33 weeks of gestation
Which of the following statements is true?
Low birth weight and preterm birth are associated with higher levels of brain injury
Two increasingly used interventions to nurture preterm babies in the Neonatal Intensive Care Unit (NICU) are:
kangaroo care and massage therapy
Which of the following is true with regard to the postpartum period?
Primary caregiver experiences can result in a major loss of sleep in this period
Hyeree had a baby girl over a month ago. Hank, her husband has noticed that Hyeree cries and worries a lot nowadays. He has also noted that she is unable to sleep well and has been eating lesser than she normally does. She has been making many mistakes, forgetting routine tasks, and is having trouble coping with her daily tasks. Which of the following is true with regard to Hyeree’s current condition?
Hyeree should seek professional counseling as her depressive symptoms are strong and prolonged.
Emotional fluctuations in the first few weeks after childbirth most often:
abate on their own as they are common
When is postpartum depression most likely to occur?
About four weeks after delivery
Which of the following is true about postpartum depression?
Without treatment, postpartum depression may last for many months
Which of the following is an example of postpartum depression?
Dora told her doctor that she has been feeling extremely low and helpless ever since she had her baby two months back and often feels incapable of nurturing her baby well
Which of the following statements about bonding is accurate?
Drugs given to mothers during childbirth can negatively affect the bonding experience right after birth.
Brenda is very tired after the birth of her baby and wants the baby to stay in the nursery to allow her to recover from the birth. If the baby does spend this time away from Brenda, then:
Brenda will still be able to bond with her baby
The sequence in which the earliest growth always occurs at the top—the head—with physical growth and differentiation of features gradually working their way down from top to bottom is known as the pattern
cephalocaudal
The sensory and motor developments in infants generally proceed according to the principle
cephalocaudal
During pregnancy, the size of the head is half the size of the total body length when the fetus is:
two-months old
In a new born baby, the size of the head is approximately the proportion of the total body length.
1/4
Proximodistal pattern of growth refers to:
the sequence in which growth starts at the center of the body and moves toward the
Which of the following is an example of proximodistal pattern of growth?
Polly learning to grab the objects with her whole hands before learning to pick them up with her fingers
Which of the following is a syndrome that affects large number of babies in the United States, causes severe brain damage, and includes symptoms such as brain swelling and hemorrhaging?
Shaken baby syndrome
Which of the following brain imaging techniques has been successfully used by researchers to learn about the brain’s development in infancy?
Electroencephalogram
he newborn’s brain is about 25 percent of its adult weight by birth; by the second birthday, the brain is about percent of its adult weight.
75
(However, the brain’s areas do not mature uniformly.)
Which of the following areas of the brain is farthest from the spinal cord and includes cerebral cortex?
The cerebral cortex covers the forebrain like a wrinkled cap.
4. Hypothalamus
The tissue that covers the forebrain like a wrinkled cap and includes two halves or hemispheres is called the .
cerebral cortex
The parietal lobes play an important role in:
registering spatial location, maintaining attention, and administering motor control
.
lateralization
Which of the following functions is lateralized to the left hemisphere of the cortex in most human brains?
Speech and grammar
Which of the following functions is an outcome of communication between both hemispheres of the brain in normal people?
Performing music
The________lobes of the cerebral cortex are involved in voluntary movement, thinking, personality, emotion, memory, sustained attention, and intentionality or
frontal
Which of the following is a dramatic change in the brain in infants in the first two years of life?
Dendritic connectivity
(increases the connections between neurons. Whereas myelination speeds up neural transmissions, the expansion of dendritic connections facilitates the spreading of neural pathways in infant development. The adult density of synapses is not achieved until middle to late adolescence)
The_______lobes of the cerebral cortex are involved in voluntary movement, thinking, personality, emotion, memory, sustained attention, and intentionality or
frontal
The unused synaptic connections will be replaced by other pathways or they disappear. In the language of neuroscience, these connections are said to be .
pruned
Myelination for visual pathways:
is completed in the first six months after
(Auditory myelination is not completed until 4 or 5 years of age)
In infants, in which of the following areas of brain, the peak of synaptic overproduction occurs at about the fourth postnatal month?
visual cortex
The region of the frontal lobe has the most prolonged development of any brain region, with changes detectable at least into emerging adulthood
predrontal
Infants of 0 to 2 years of age sleep an average of hours a day.
12.8
Based on the studies conducted on infant sleep-related problems, which of the following factors will be linked to fewer infant sleep problems?
Early introduction of solid foods to infants
1/5
In adults, REM sleep usually appears after non-REM
Adults spend about one-fifth of their night in REM sleep, and REM sleep usually appears about one hour after non-REM sleep. Infants often begin their sleep cycle with REM sleep rather than non-REM sleep. By the time infants reach 3 months of age, REM sleep no longer begins their sleep cycle. A much greater amount of time is taken up by REM sleep in infancy than at any other point in the life span
Which of the following is a high-risk factor for sudden infant death syndrome (SIDS)?
Prone sleeping (lying flat, especially face downward)
Who among the following infants is more likely to suffer from SIDS?
Noah, who uses a pacifier when she goes to sleep
Ethan, who is suffering from sleep apnea
The nutrient need for infants recommended by nutritionists is approximately calories per day for each pound they
50
Which of the following conclusions is true based on the research conducted on benefits of breast feeding for the child?
It reduces gastrointestinal infections in infants
is a condition caused by severe protein-calorie deficiency and results in wasting away of body tissues in the infant’s first year
2. Kwashiorkor
Which of the following conditions resulting from malnutrition can cause a child’s vital organs to collect the nutrients that are present and deprive other parts of the body of them?
2. Kwashiorkor
Kwashiorkor, which occurs due to severe protein deficiency, causes a child’s vital organs to collect the nutrients that are present and deprive other parts of the body of them. The child’s hair becomes thin, brittle, and colorless, and the child’s behavior often becomes listless.
Ana, a two-year old baby girl appears to be well-fed but is deficient of certain important proteins. Her hair is thin, colorless, and brittle. Based on these symptoms, the doctor examining Ana, is likely to relate her condition to the disorder of .
Kwashiorkor
Which of the following vaccinations is given to infants at birth?
воспаление печени
Hepatitis B
The first dose of vaccination for influenza is given to infants at the age of
грипп
2 months
The immunization for polio is given till the age of:
полиомиелит - детский паралич
4 to 6 years
The “dynamic systems theory” was proposed by .
Esther Thelen
The dynamic systems view on motor development
According to the “ theory,” to develop motor skills, infants must perceive something in the environment that motivates them to act and use their perceptions to fine-tune their
dynamic systems
John, a two-month old baby boy, turns his head toward the side, when his cheek is stroked in an effort to find something to suck. The type of reflex exhibited by John is known as the
rooting
Which of the following reflexes has a survival value for newborns as it enables them to get nourishment before they have associated a nipple with food?
it also serves as a self-soothing or self-regulating mechanism.
When an infant is placed on back, it forms fists with both hands and usually turns head to the right. This reflex is known as the
tonic neck
Which of the following motor skills is achieved in the second year of life in infants?
Nathan, who is 10 months old, picks up small blocks using his thumb and forefinger. The type of grasp used by Nathan is called the
pincer
Which of the following is an example of a fine motor skill in infants?
grasping
Fine motor skills involve finely tuned movements. Grasping a toy, using a spoon, buttoning a shirt, or accomplishing anything that requires finger dexterity demonstrates fine motor skills.
The perceptual system used by infants to coordinate grasping varies with age. Four-month old infants rely greatly on to determine how they will grip an
touch
The rays of light focused on the eyes are converted into electrical impulses by the
retina
Which of the following views states that perception brings us into contact with the environment in order to interact with and adapt to it?
The ecological view
According to the Gibsons’ ecological view, we directly perceive information that exists in the world around us. Perception brings us into contact with the environment in order to interact with and adapt to it.
The method used to determine whether infants can distinguish one stimulus from another by measuring the length of time they attend to different stimuli is known as the method.
Which of the following methods uses a sound generating system to assess an infant’s attention to sound?
High-amplitude sucking method
Alex was being a shown a sequence of objects which were of the same size and they all resembled a square. After sometime Alex lost interest in those objects. When they showed him a triangular object it suddenly caught his attention and he started looking at those objects again. This change in response in Alex is referred to as
dishabituation
dishabituation
Perceptual constancy
4. generalized response.
4. Size constancy
Ethan was able to recognize the ice-cream cone to be cone shaped even when the orientation of the cone was changed a number of times. This shows that Ethan has achieved .
shape constancy
Localization
Which of the following perceptions involves integrating information from two or more senses like vision and hearing?
Intermodal perception
In the field of perceptual development people who emphasize on learning and experience are called .
empiricists
empiricism is a theory that states that knowledge comes only or primarily from sensory experience.
The ability of perception in infants is not innate but develops with learning and experience.
4. The dynamic systems view
The Piaget’s constructivist view, which reflects an empiricist approach, states that much of the perceptual development in infancy must await the development of a sequence of cognitive stages in infants to construct more complex perceptual tasks.
What are the cephalocaudal and proximodistal patterns? Give examples for each.
Example: Infants see objects before they can control their torso, and they can use their hands long before they can crawl or walk.
Example: Infants control the muscles of their trunk and arms before they control their hands and fingers, and they use their whole hands before they can control several fingers.
Describe any two diseases that can occur in infants due to malnutrition
Marasmus: Marasmus is caused by a severe protein-calorie deficiency and results in a wasting away of body tissues in the infant’s first year. The infant becomes grossly underweight and his or her muscles atrophy.
Kwashiorkor: Kwashiorkor, caused by severe protein deficiency, usually appears between 1 and 3 years of age. Children with kwashiorkor sometimes appear to be well fed even though they are not because the disease can cause the child’s abdomen and feet to swell with water. Kwashiorkor causes a child’s vital organs to collect the nutrients that are present and deprive other parts of the body of them. The child’s hair becomes thin, brittle, and colorless, and the child’s behavior often becomes listless.
Which of the following is true with regard to Piaget’s theory of infant development?
Piaget’s theory is a general, unifying story of how biology and experience sculpt cognitive development.
Piaget stressed that:
Piaget stressed that children actively construct their own cognitive worlds; information is not just poured into their minds from the environment.
use their existing schemes to deal with new information or experiences
the child experiencing renewed motivation to change and adapt
equilibration
secondary circular reactions
.
The core knowledge approach
The focusing of mental resources on select information that improves cognitive processing on many tasks is defined as .
attention
Sustained attention (устойчивое, длительное, непрерывное)
is defined as the increase in responsiveness after a change in stimulation.
Dishabituation
_nfants’ attention to objects is strongly governed by the ______ and habituation.
novelty of the object
Explanation: Joint attention requires (1) an ability to track another’s behavior, such as following someone’s gaze; (2) one person directing another’s attention; and
(3) reciprocal interaction.
Deferred imitation is imitation that occurs after a delay of hours or days. Carol is displaying deferred imitation here.
Concepts
Arnold Gesell
greater emphasis on social interaction in infants
Infinite generativity
phoneme
babbling
Receptive vocabulary comprises of:
the words that the child understands but cannot speak
two-word utterances (высказывание)
is an area in the left frontal lobe of the brain that is involved in producing words.
Broca's area
child-directed speech
An interactionist view emphasizes that both and experience contribute to language development.
biology
Parents should understand that different children acquire language at different speeds.
emotion
The aspect is at the forefront of emotion in infancy
primary
4. Guilt
basic
anger
The cry is triggered by a high-intensity stimulus
pain
hunger
smiling
Social consciousness
Negative affectivity includes “fear, frustration, sadness, and discomfort.” These children are easily distressed; they may fret and cry often.
Effortful control
Effortful control
In particular a(n) temperament is associated with a unique physiological pattern that includes high and stable heart rate, high level of the hormone cortisol, and high activity in the right frontal lobe of the brain.
inhibited
2-3 months
According to Harry Harlow, infants’ attachment depends on:
contact comfort
attachment becomes focused on one figure, usually the primary caregiver
phase 3
infants are aware of others’ feelings and begin to take it into account in forming their actions.
insecure disorganized
babies.
insecure disorganized
Caregivers of insecure disorganized babies
often neglect or physically abuse them.
Which of the following statements is true regarding the attachment theory?
Oxytocin
vsopressin
Scaffolding