Nursing Elites

1. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.

• A. the age of the sperm.
• B. the age of her eggs.
• C. her risk of developing diabetes.
• D. her cholesterol level, not her appearance.

Correct answer: B

Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.

2. Does the digestive system filter wastes from the blood?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The correct answer is False. The digestive system is responsible for breaking down food and absorbing nutrients, not filtering wastes from the blood. The excretory system, particularly the kidneys, filters wastes from the blood to form urine. Choices A, C, and D are incorrect because the digestive system's primary function is not waste filtration but rather digestion and absorption of nutrients.

3. What causes wrinkled and sagging skin?

• A. Drinking too much water
• B. Heredity alone
• C. Loss of subcutaneous fat and reduced levels of elastin and collagen
• D. Excess subcutaneous fat

Correct answer: C

Rationale: Wrinkled and sagging skin is primarily caused by the loss of subcutaneous fat and reduced levels of elastin and collagen in the skin. Choice A is incorrect as drinking too much water does not lead to wrinkled and sagging skin. Choice B is incorrect because heredity alone does not cause this condition. Excess subcutaneous fat, as mentioned in Choice D, can contribute to a different skin appearance, such as puffiness, but not wrinkled and sagging skin.

4. Which of the following hormones is secreted by the posterior pituitary gland?

• A. Growth hormone
• B. Luteinizing hormone
• C. Adrenocorticotropic hormone
• D. Antidiuretic hormone

Correct answer: D

Rationale: The correct answer is D: Antidiuretic hormone. Antidiuretic hormone (ADH), also known as vasopressin, is produced by the hypothalamus and stored in the posterior pituitary gland. It plays a key role in regulating the body's water balance by controlling the amount of water reabsorbed by the kidneys. Choices A, B, and C are incorrect because Growth hormone is produced by the anterior pituitary gland, Luteinizing hormone is produced by the anterior pituitary gland, and Adrenocorticotropic hormone is produced by the anterior pituitary gland.

5. Blood cells are produced in the organs of the _______ system.

• A. endocrine
• B. skeletal
• C. superior to
• D. inferior to

Correct answer: C

Rationale: Blood cells are produced in the organs of the hematopoietic system. The correct answer is 'superior to' as this refers to the location of the organs responsible for blood cell production, typically bone marrow found in bones such as the vertebrae, ribs, and skull. 'Endocrine' (Choice A) refers to a different system responsible for hormone production. 'Skeletal' (Choice B) relates to bones but not specifically to the production of blood cells. Choices C and D, 'superior to' and 'inferior to,' do not make sense in the context of blood cell production and are incorrect.

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