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. An occurrence of too high a concentration of which of the following electrolytes is associated with cardiac arrhythmias?

• A. chloride
• B. phosphorus
• C. potassium
• D. sodium

Correct answer: C

Rationale: The correct answer is potassium. High levels of potassium in the blood, known as hyperkalemia, can lead to cardiac arrhythmias by affecting the electrical activity of the heart. This can disrupt the normal rhythm of the heart and lead to serious complications. Chloride, phosphorus, and sodium imbalances are not typically associated with cardiac arrhythmias, making them incorrect choices.

3. Calcium concentration in the blood is controlled by which of the following glands?

• A. Hypothalamus gland
• B. Thyroid gland
• C. Pituitary gland
• D. Parathyroid glands

Correct answer: D

Rationale: The correct answer is Parathyroid glands. The parathyroid glands are responsible for regulating calcium levels in the blood by secreting parathyroid hormone (PTH). PTH helps increase calcium levels in the blood when they are too low. The other glands listed, such as the Hypothalamus, Thyroid, and Pituitary glands, do not directly control calcium concentration in the blood.

4. Which of the following electrolytes plays an essential role in the clotting of blood?

• A. sodium
• B. magnesium
• C. calcium
• D. potassium

Correct answer: C

Rationale: Calcium plays an essential role in the clotting of blood by being involved in several steps of the coagulation process. It is necessary for the conversion of prothrombin to thrombin, which is a crucial step in forming blood clots. Sodium, magnesium, and potassium do not directly participate in the clotting cascade and are not associated with the coagulation process. Therefore, the correct answer is calcium.

5. What is the term for the upper midportion of the abdomen?

• A. hypochondriac
• B. iliac
• C. hypogastric
• D. epigastric

Correct answer: D

Rationale: The correct answer is "epigastric." The epigastric region is located in the upper midportion of the abdomen, between the hypochondriac regions on either side. Choice A, "hypochondriac," refers to the upper lateral regions of the abdomen beneath the ribs. Choice B, "iliac," pertains to the lower lateral regions of the abdomen. Choice C, "hypogastric," is the lower central region of the abdomen.

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