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 substances is involved in the destruction of ingested pathogens?

• A. lymphatic fluid
• B. stomach acid
• C. bicarbonate
• D. lipase

Correct answer: B

Rationale: The correct answer is stomach acid. Stomach acid, also known as gastric acid, plays a crucial role in destroying ingested pathogens due to its high acidity. The low pH of stomach acid helps to kill bacteria and other pathogens that may be present in the food we consume. Lymphatic fluid is involved in immune function and fat absorption, not pathogen destruction. Bicarbonate is a base that neutralizes stomach acid to prevent damage to the stomach lining. Lipase is an enzyme that aids in the digestion of fats but is not involved in pathogen destruction.

3. Which of the following must the human body obtain from the environment in order to survive?

• A. Nitrogen
• B. Waste products
• C. Water
• D. Carbon dioxide

Correct answer: C

Rationale: The correct answer is C: Water. Water is essential for the human body to survive as it plays a crucial role in various physiological processes like digestion, circulation, and temperature regulation. Nitrogen is abundant in the atmosphere and is not directly obtained from the environment for survival. Waste products are materials that need to be eliminated from the body, not obtained for sustenance. Carbon dioxide is a byproduct of cellular respiration and is expelled from the body through breathing, not obtained as a nutrient.

4. The organ systems responsible for integration and coordination are the nervous and endocrine systems.

• A. True
• B. False
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The correct answer is True. The nervous and endocrine systems are indeed responsible for integration and coordination in the body. The nervous system uses electrical impulses to send signals quickly, while the endocrine system uses hormones to send chemical messages more slowly. Together, they work to regulate various bodily functions and maintain homeostasis. The other choices are incorrect as the statement accurately describes the roles of the nervous and endocrine systems in integration and coordination.

5. What is the maximum capacity of a normal adult bladder before involuntary micturition is likely to occur?

• A. 800-900ml
• B. 300-600ml
• C. 1000-2000ml
• D. 400-700ml

Correct answer: B

Rationale: The correct answer is B: 300-600ml. A normal adult bladder can hold approximately 300-600ml of urine before the urge to urinate becomes strong and involuntary micturition is likely to occur. Choice A (800-900ml), Choice C (1000-2000ml), and Choice D (400-700ml) all exceed the typical capacity of a normal adult bladder and would generally not be accurate in the context of involuntary micturition.

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