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. Which of the following is not part of the female reproductive system?

• A. The uterus
• B. The uterine tube
• C. The vulva
• D. The bulbourethral gland

Correct answer: D

Rationale: The bulbourethral gland is not part of the female reproductive system. This gland is part of the male reproductive system and is responsible for producing a clear fluid that helps in lubrication during sexual activity. Choices A, B, and C are part of the female reproductive system. The uterus is where a fertilized egg implants and develops into a fetus. The uterine tube (fallopian tube) transports eggs from the ovary to the uterus. The vulva includes the external genital organs of the female.

3. 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.

4. Most of the terminology to name and describe body parts and their functions comes from

• A. Latin and Greek.
• B. English and Italian.
• C. Pictures drawn on the cave walls of our ancestors.
• D. The language of hunter-gatherers.

Correct answer: A

Rationale: The correct answer is Latin and Greek. Medical terminology is largely derived from Latin and Greek roots. These languages have been foundational in the development of medical terminology due to the precision and descriptive nature of their vocabulary. Choice B, English and Italian, is incorrect because while some medical terms may have originated from these languages, the majority come from Latin and Greek. Choices C and D, pictures drawn on the cave walls of our ancestors and the language of hunter-gatherers, are both incorrect as they do not align with the historical origins of medical terminology.

5. 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.

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