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. A parietal layer of a serous membrane lines cavities, whereas a visceral layer of a serous membrane covers organs.

• A. covers organs; lines cavities
• B. lines cavities; covers organs
• C. secretes serous fluid; secretes mucus
• D. secretes mucus; secretes a serous fluid

Correct answer: B

Rationale: In serous membranes, the parietal layer lines the cavities, providing support and protection, while the visceral layer covers the organs, reducing friction and allowing them to move freely. Therefore, the correct answer is 'lines cavities; covers organs.' Choices C and D are incorrect because serous membranes do not secrete mucus; instead, they secrete a watery serous fluid. Choice A is incorrect as it reverses the functions of the parietal and visceral layers in relation to organs and cavities.

3. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

4. 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.

5. What is assimilation?

• A. changing absorbed substances into different chemical forms
• B. breaking down foods into nutrients that the body can absorb
• C. eliminating waste from the body
• D. an increase in body size without a change in overall shape

Correct answer: A

Rationale: Assimilation is the process of changing absorbed substances into different chemical forms. It occurs after nutrients from food are absorbed into the bloodstream and used by the body. Choice B, breaking down foods into nutrients that the body can absorb, refers to the process of digestion rather than assimilation. Choice C, eliminating waste from the body, describes the process of excretion. Choice D, an increase in body size without a change in overall shape, does not accurately define assimilation.

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