8/18/23, 5:37 PM TOPNOTCHERS REVIEW GROUP ICF TEST 1

TOPNOTCHERS REVIEW GROUP UNP, HAGNOL, DANNA CLAIRE C.

Aug. 18, 2023, 2:16 p.m.
ICF TEST 1
Your score: 92% /
46 50
Duration: 0:09:45

GREAT JOB!

1 / 1 point
1. 1. This reflex consists of two basic movements, when
newborn flings’ arms and legs outward and pull them back again, this is:

a. Withdrawal

b. Dancing

c. Moro

d. Babinski

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

MORO
test for neurological integrity (jarring crib, loud voice) assume a C
POSITION

· asymmetrical arm movt?====

o BRACHIAL PLEXUS PARALYSIS

o TEMPORARY

o SHOULDER DYSTOCIA (McRoberts maneuver)-cephalic

o SHOULDER (BRECH)-LOVESET

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1 / 1 point
2. A mother who is formula feeding her baby complained about her
baby’s stool as:

a. Being passed more frequently than her neighbor’s baby who is

being breastfed

b. Greenish with a tinge of brown in color

c. Somewhat hard and foul smelling

d. Mushy and bright yellowish

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

BOTTLEFED-hard, foul smell, constipation

1 / 1 point
3. When assessing a neonate’s temperature with a disposable
digital thermometer, in which of the following locations should the midwife
place the thermometer?

a. Under the neonate’s tongue

b. Under the neonate’s arm

c. Into the neonate’s rectum

d. Into the neonate’s ear

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
RECTAL SITE----vagal nerve stimulation that leads to BRADYCARDIA

contraindicated

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1 / 1 point
4. The mother of a 6-month old infant is concerned that the infant’s
fontanel is still open. The midwife would inform the mother that further
evaluation is needed if the anterior fontanel is still open after:

a. 6 months

b. 10 months

c. 18 months

d. 24 months

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

B BREGMA

A ANTERIOR

D diamond

12-18 MONTHS

1 / 1 point
5. Which maternal factor is most commonly the cause of a neonate
being small for gestational age?

a. Diabetes

b. Excessive weight gain

c. Exercise

d. Smoking

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

SMOKING causes vasoconstriction

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1 / 1 point
6. For a term new-born, the best time to start breastfeeding is

a. 4 hours after birth

b. 2-4 hours of age

c. 24 hours after birth

d. Within 60 minutes

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

Let the baby rest and wait for feeding cues (20-60 minutes)

0 / 1 point
7. The mother of a 6-month old asks when her child will have all his
baby teeth. The midwife that most children have all their primary teeth by
age

a. 12 months

b. 18 months

c. 24 months

d. 30 months

Your Answer: Incorrect

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

DECIDUOUS TEETH

· 20

· LOWER CENTRAL INCISOR-FIRST TOOTH TO ERUPT

· 30 MONTHS

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· 6 MONTHS-FIRST OF DENTAL CHECKS UP-AFTER THE TOOTH

ERUPTION

8. A midwife is preparing to care for a child with a diagnosis of intussusception. The midwife reviews th
child’s record and expects to note which symptom of this disorder documented?

a. Bright red blood and mucus in the stools

b. Profuse projectile vomiting

c. Watery diarrhea

d. Ribbon like stools

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

8. A midwife is preparing to care for a child with a diagnosis of intussusception. The midwife review
child’s record and expects to note which symptoms of this disorders are documented?

a. Bright red blood and mucus in the stools- Currant jelly

b. Profuse projectile vomiting-PYLORIC STENOSIS

c. Watery diarrhea-CHOLERA (RICE WATERY STOOL)

d. Ribbon like stools-HIRSCHPRUNGS DSE, MEGA COLON

1 / 1 point
9. What is the appropriate feeding technique for the midwife to use
with an infant who has a cleft palate?

a. Suction client prior to feeding

b. Feed in sitting position

c. Have the midwife feed the client during hospitalization?

d. Bubble client after feed to reduce risk of aspiration

Your Answer: Correct

Choice 1

Choice 2

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Choice 3

Choice 4

Explanation:

Therapeutic Management

- Surgery

- Cleft lip: cheiloplasty done

as early as 1 – 3 months to
save sucking reflex

- Cleft palate: uranoplasty done 4 – 6 months to save speech

0 / 1 point
10. The midwife reviews the assessment findings documented in the
record, knowing that which symptom most likely led the mother to seek
health care for the infant with Hirschsprung’s disease?

a. Diarrhea

b. Projectile vomiting

c. Regurgitation of feedings

d. Foul smelling ribbon like stools

Your Answer: Incorrect

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Diarrhea-AGE (ACUTE GASTRO ENTERITIS-bacterial infection)

b. Projectile vomiting-PYLORIC STENOSIS

c. Regurgitation of feedings--- GASTRO ESOPHAGEAL REFLUX

DISORDER (GERD)-----PYROSIS

d. Foul smelling ribbon like stools

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HIRSCHSPRUNG’S DISEASE

· Absence of parasympathetic ganglion cells in a portion of the bowel,

which causes enlargement of the bowel proximal to the defect

· Constipation or passage of ribbon like or pellet like stool

· Intestinal obstruction

0 / 1 point
11. When putting the baby to sleep, which position is not
recommended?

a. Trendelenburg

b. Prone position

c. Supine position

Side lying

Your Answer: Incorrect

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

ASSOCIATED WITH SIDS

1 / 1 point
12. Early breast-feeding promotes release of which of the following
hormones responsible for milk production?

a. Oxytocin

b. Prolactin

c. Estrogen

d. Progesterone

Your Answer: Correct

Choice 1

Choice 2

Choice 3

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Choice 4

Explanation:
. Oxytocin-let down reflex/milk ejection reflex

b. Prolactin-hormone that stimulates milk production by the acini cells

c. Estrogen-hormone for girls, secondary sex characteristic

d. Progesterone-hormone for pregnancy, thickening of endometrium,

thicken cervical mucus

1 / 1 point
13. Increase in skill and complexity of function is part of the child’s:

a. Training

b. Learning

c. Growth

d. Development

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Training

b. Learning

c. Growth-quantitative, measurable---Height and Weight

d. Development-maturation, skills

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1 / 1 point
14. According to Erikson’s developmental theory, failure to achieve
developmental tasks during adolescence may lead to:

a. Isolation

b. Inferiority

c. Role confusion

d. Despair

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Isolation intimacy vs

b. Inferiority Industry vs

c. Role confusion Identity vs

d. Despair

1 / 1 point
15. When using the otoscope to examine the ears of a 2-year old
child, the midwife should:

a. pull the pinna up and back

b. pull the pinna down and back

c. hold the pinna gently but firmly in its normal position

d. hold the pinna against the skull

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
16. The most common finding in pyloric stenosis is:

a. Cyanosis

b. projectile vomiting

c. excessive salivation

d. maculopapular rash

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

Cyanosis----heart problems------ mixing of oxygenated and

unoxygenated

b. projectile vomiting

c. excessive salivation- ESOPHAGEAL OR TRACHEOESOPHAGEAL

ATRESIA

d. maculopapular rash-chicken pox/varicella---more on covered areas

1 / 1 point
17. When baby Lester was born, he was given an APGAR score of 9
at one minute and five minutes. The score indicates:

a. that the neonate has some cyanosis of the feet and the hands

b. that the neonate has limp muscle tone

c. that the neonate does not respond when he is being suctioned

d. that the neonate did not cry after birth

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

acrocyanosis-1

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INTERPRETATION OF APGAR RESULT

0-3: severely depressed, need CPR, admission to NICU

4-6: moderately depressed, additional suction and oxygen administration

7-10: good/healthy

1 / 1 point
18. The normal respiratory rate of an infant within 3 minutes after
birth is:

a. 20 – 30 b. 30 – 60
c. 80 – 100 d. 100 – 120

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

HYPERVENTILATION-tingling sensation of the hands

· Use cupped hands

· Brown paper bag

19. First artificial immunization (vaccine) given to babies

a. anti-tetanus

b. anti-pertussis

c. anti-polio

d. anti tuberculosis

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

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First artificial immunization (vaccine) given to babies

a. anti-tetanus---dpt

b. anti-pertussis----dpt

c. anti-polio===opv, ipv

d. anti tuberculosis===bcg

1 / 1 point
20. In supplementary feeding, the first nutrient that the baby receives
is:

a.Proteins

b.Vitamins

c.Minerals

d.Carbohydrates

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
EARLIEST-4 MONTHS

6 MONTHS

SUPPLEMENTARY FEEDING/COMPLIMENTARY FEEDING

· 6 MONTHS

· 1 TYPE OF FOOD PER WEEK TO ASSESS FOR ALLERGY

· Cereals

o IRON FORTIFIED RICE CEREAL

· Vegetables and fruits

· Meat

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· Fish

· Egg yolk and cheese

· Desserts and sweets

TABLE FOODS=====1 YEAR OLD

1 / 1 point
21. Gastrointestinal diseases are prevented by which of the following
things found in breastmilk?

a. lymphocytes

b. lactobacillus bifidus

c. interferon

d. immunoglobulins

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
ADVANTAGES OF BF

§ ECONOMICAL

§ PROMOTES BONDING

§ HASTENS INVOLUTION OF UTERUS ® oxytocin causes contraction

§ CONTRACEPTION-LAM

§ A

§ G

§ E

§ Breastfed babies have higher IQ than bottle fed ones

§ PREVENTS DISEASES

§ Contains LACTOBACILLUS BIFIDUS ® interfere the attack of

pathogenic bacteria in the GIT

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§ ANTIBODY ® IGA

§ Macrophages

§ ¯ INCIDENCE OF BREAST CANCER AND OVARIAN CA

22. Protein deficiency, if it remains unchecked and becomes severe can lead to a condition called:

a.Marasmus

b.Kwashiorkor

c.Polydactyly

d.Cretinism

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

22. Protein deficiency, if it remains unchecked and becomes severe can lead to a condition called:

a.Marasmus-CALORIC DEFICIENCY---BUTOT BALAT

b.Kwashiorkor

c.Polydactyly

d.Cretinism—IODINE DEFICIENCY/GOITER----EAT SEAFOODS, IODIZED SALT

• (+) extra digits = Polydactyly=------6 FINGERS

• (+) web fingers = Syndactyly----SIDIDIKIT DALIRI

PEM

· KWASHIOKOR

· EDEMA OF LEGS AND FEET

· ZEBRA HAIR (THIN, DRY HAIR)

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1 / 1 point
23. Which body system grows more rapidly during early childhood.

a. Spinal cord and brain

b. Testes and ovaries

c. Muscles and bones

d. Liver and intestines

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
24. Old man’s look; skin and bones; hunger; winged scapula:

a. Kwashiorkor

b. Malnutrition

c. Marasmus

d. Vitamin deficiency

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
25. Pallor; anorexia; lethargy; susceptibility to infections:

a. Retrolental fibroplasia

b. Hirschsprung’s disease

c. Iron-deficiency anemia

d. Hypothermia

Your Answer: Correct

Choice 1

Choice 2

Choice 3

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Choice 4

Explanation:
ANEMIA

Moderate to severe anemia d/t amount of blood lost

NORMAL HEMOGLOBIN 12 – 16 g/dl

MODERATE ANEMIA 9 – 11 g/dl

SEVERE ANEMIA below 9 g/dl

1 / 1 point
26. Excessive salivation; choking; coughing; material
polyhydramnios:

a. Intestinal obstruction

b. Esophageal atresia

c. Brain injury

d. Primary complex

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Intestinal obstruction---- HIRSCHPRUNGS DSE, MEGACOLON

b. Esophageal atresia

c. Brain injury

d. Primary complex-----TB FOR CHILDREN, NON COMMUNICABLE

27. The lack of ascorbic acid in the diet or a child can result to a deficiency disease called:

a. Goiter

b. Scurvy

c. Pellagra

d. Xeropthalmia

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Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
Help in the formation of protein, collagen, bone, teeth cartilage, skin and scar tissue; facilitate in the
of iron from the gastrointestinal tract; involve in amino acid metabolism; increase resistance to infect
prevent scurvy.

Food sources: (CITRUS FRUITS) Guava; pomelo; lemon; orange; calamansi; tomato; cashew

IRON-VITAMIN C(ABSORPTION)

28. Tachypnea; flaring; grunting; see-saw breathing: (1 point)

a. Hemolytic disease

b. Respiratory distress syndrome

c. Pneumonia

d. Primary complex

1 / 1 point
28. Tachypnea; flaring; grunting; see-saw breathing:

a. Hemolytic disease

b. Respiratory distress syndrome

c. Pneumonia

d. Primary complex

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
HYALINE MEMBRANE DISEASE

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RESPIRATORY DISTRESS SYNDROME

- Common for premature babies (immature lungs)

- HYALINE MEMBRANE DISEASE - Cause: lack of surfactant

- Common in preterm infants
- Hypoxic

- Formation of hyaline

- Causing atelectasis (lung collapse)

Signs and Symptoms

- Definite within 4 hours of life

1. Increase RR with retractions (early sign)

2. Expiratory grunting (major sign)

3. Flaring alae Nassir
4. Xiphoid retractions
5. Intercoastal retractions
6. Respiratory acidosis

RETROLENTAL

FIBROPLASIA (retinopathy of prematurity)- When meconium stained

never administer oxygen because pressure will force meconium to the
alveolar sac and cause atelectasis

1 / 1 point
29. Sunset sign; dilated cephalic veins; widening fontanels; head lag:

a. Mongolism

b. Hydrocephalus

c. Microcephaly

d. Cretinism

Your Answer: Correct

Choice 1

Choice 2

Choice 3

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Choice 4

Explanation:
HYDROCEPHALUS

- Collection of CSF (Cerebro Spinal Fluid)

2 types

a. Communicating – extra ventricular hydrocephalus

b. Non communicating – intra ventricular hydrocephalus also
called obstructive Signs and Symptoms
- Sign of increase ICP

- Sign of frontal bossing (prominent forehead)

- Prominent scalp vein

- Sunset eyes

1 / 1 point
30. According to Erikson, the school child is striving to attain:

a. Trust vs. Mistrust

b. Identity vs. role confusion

c. Initiative vs. guilt

d. Industry vs. inferiority

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Trust vs. Mistrust-Infancy

b. Identity vs. role confusion-adolescent

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c. Initiative vs. guilt-preschool

d. Industry vs. inferiority-school age

1 / 1 point
31. Measles vaccine is administered:

a. At 9 months

b. subcutaneously

c. To prevent rubeola

d. All of these

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
MMR1 & IPV2-9 months

MMR2-12

MEASLES (RUBEOLA)

MUMPS (INFECTIOUS PAROTITIS---HIGHLY COMMUNICABLE

RUBELLA (GERMAN MEASLES)

1 / 1 point
32. Which of the ff. disease caused by virus that attacks the motor
cells of the spinal cord?

a. Meningitis

b. Tetanus

c. Paralysis

d. Poliomyelitis

Your Answer: Correct

Choice 1

Choice 2

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Choice 3

Choice 4

1 / 1 point
33. When the infant has diarrhea a cheap & effective means of
replacing the total loss fluids & electrolytes is by giving:

a. Oresol

b. Tea

c. am

d. Milk

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
34. Defined as the inflammation of the umbilical cord?

a. Gastritis

b. Stomatitis

c. Colitis

d. Omphalitis

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
a. Gastritis-Inflammation of the lining of the stomach

b. Stomatitis-Stomatitis is a sore or inflammation inside of the mouth

c. Colitis-inflammation of the inner lining of the colon

d. Omphalitis

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1 / 1 point
35. A five-day old infant with white, cheesy patches on the tongue
and buccal mucosa is probably infected with

a. Staphylococcus

b. Streptococcus

c. E. Coli

d. Candida albicans

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
ORAL TRUSH

Oral thrush, also called oral candidiasis, is a yeast infection of the moutH

1 / 1 point
36. The milk production influence by which of the following hormone

a. Prolactin

b. Oxytocin

c. Progesterone

d. Estrogen

Your Answer: Correct

Choice 1

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Choice 2

Choice 3

Choice 4

1 / 1 point
37. By one year, these are expected of a child except:

a. Knows his name

b. BW- 6 lbs, WT-18 lbs at 1 year

c. Can stand alone and walk with help

d. Number of teeth is 8-10

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
38. An infant who weighs 8 pounds at birth would be expected to
weigh how many pounds at 1 year?

a. 14 pounds

b. 16 pounds

c. 18 pounds

d. 24 pounds

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
39. The most important person in the infant is:

a. Mother

b. Father

c. Family

d. Parents

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
40. The total number of primary teeth is:

a. 20

b. 18

c. 32

d. 36

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
41. The hormone in the body that stimulate the production and
ejection of milk in the breast are prolactin and

a. Estrogen

b. Oxytocin

c. Progesterone

d. Testosterone

Your Answer: Correct

Choice 1

Choice 2

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Choice 3

Choice 4

1 / 1 point
42. Refers to inborn genetically transmitted capacity for development:

a. Growth

b. Maturation

c. Learning

d. Eugenics

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
43. The basic need in the psychosocial development of the infant is
to develop the feelings:

a. Intimacy

b. Trust

c. Autonomy

d. Identity

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
44. According to Freud, the levels of personality that is formed in the
anal stage is:

a. Id

b. Ego

c. Superego

d. Cost

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
INFANCY=EGO

CHILDHOOD=SUPEREGO (CONSCIENCE)

Id

Evident at birth, is inborn, unconscious, and is driven by biological

instincts and urges to seek immediate gratification of needs such as
hunger, thirst, and physical comfort

Ego

Conscious, rational, and emerges during the first year of life as infants
begin to test the limits of the world around them

Superego

Appearing early in childhood, is the internalization of the moral values

formed as children interact with their parents and significant others

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1 / 1 point
45. Oedipal & Electra complex are common features of:

a. Oral period

b. Anal

c. Phallic

d. Latency

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

1 / 1 point
46. Which of the following is expected to be done by a normal 7
months old infant?

a. Stand alone

b. Sit with support

c. Crawl

d. speak mama and dada

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

0 / 1 point
47. An infant who weighs 7 pounds at birth would be expected to
weigh how many pounds after 6 months?

a. 7 pounds

b. 8 pounds

c. 9 pounds

d. 14 pounds

Your Answer: ∅ Blank

Choice 1

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Choice 2

Choice 3

Choice 4

1 / 1 point
48. The giving of supplementary foods for infants could be started at
what months?

a. 4 months

b. 3 months

c. 5 months

d. 6 months

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:
EARLIEST TIME-4 MONTHS

1 / 1 point
49. Which of the following is an expected activity of an 8 month old
with a normal growth

a. stand alone

b. eats alone

c. stranger anxiety

d. crawl

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

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1 / 1 point
50. The greatest fear of a toddler is:

a. Stranger anxiety

b. Dark

c. Separation anxiety

d. Displacement fear

Your Answer: Correct

Choice 1

Choice 2

Choice 3

Choice 4

Explanation:

3 PHASES of separation anxiety

stranger anxiety-infancy

dark-preschool

displacement-adolescent

PRESCHOOL AGE

IMAGINARY FRIEND
Oedipus complex, his son–father competition for possession of
mother
Electra complex, her daughter–mother competition for
psychosexual possession of father
Castration anxiety= boys fear that if they anger their father, he will
cut off his penis
Penis envy= girls believe that they once had a penis but it was cut
off. To compensate, they want to have children with their father

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8/18/23, 5:37 PM TOPNOTCHERS REVIEW GROUP ICF TEST 1

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