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 cardiac valves prevents blood from returning to the left ventricle of the heart?

• A. pulmonic
• B. mitral
• C. tricuspid
• D. aortic

Correct answer: D

Rationale: The correct answer is the aortic valve. The aortic valve is located between the left ventricle and the aorta, preventing the backflow of blood into the left ventricle once it has been pumped out during systole. Choice A, pulmonic, is incorrect as it is associated with the right side of the heart. Choice B, mitral, is incorrect as it is the valve between the left atrium and ventricle. Choice C, tricuspid, is incorrect as it is located between the right atrium and ventricle.

3. What do positive feedback mechanisms do?

• A. Cause long-term changes.
• B. Move conditions away from the normal state.
• C. Bring conditions back to the normal state.
• D. Usually produce stable conditions.

Correct answer: B

Rationale: Positive feedback mechanisms amplify or increase changes in a system, moving conditions away from the normal state. This makes choice B the correct answer. Choice A is incorrect as positive feedback does not cause long-term changes but rather accelerates deviations from the norm. Choice C is incorrect because positive feedback does not bring conditions back to normal; instead, it amplifies deviations. Choice D is incorrect as positive feedback does not usually lead to stable conditions but rather to further deviations from the normal state.

4. In the early days, healers transitioned from superstition and magic to using natural chemicals in the field of medicine.

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

Correct answer: A

Rationale: The statement is true. The field of medicine evolved as early healers moved away from superstition and magic, instead focusing on natural chemicals to treat illnesses. This transition marked a shift towards a more scientific and evidence-based approach to healthcare. This historical transition is well-documented in the evolution of medicine. Choice B is incorrect because the statement accurately reflects the historical development of medicine. Choice C is incorrect as the historical transition from superstition to natural chemicals is a well-documented aspect of the evolution of medicine. Choice D is incorrect as the statement provided is true.

5. Which of the following is the measurement of the percentage of red blood cells in whole blood?

• A. Hematocrit
• B. Hemoglobin
• C. Mean corpuscular volume
• D. Reticulocyte count

Correct answer: A

Rationale: The correct answer is 'Hematocrit.' Hematocrit is the measurement of the percentage of red blood cells in whole blood. It is used to diagnose conditions such as anemia and dehydration. Choice B, 'Hemoglobin,' measures the amount of hemoglobin in the blood, not the percentage of red blood cells. Choice C, 'Mean corpuscular volume,' measures the average volume of a red blood cell, not the percentage of red blood cells. Choice D, 'Reticulocyte count,' measures the percentage of young red blood cells in the blood, not the percentage of red blood cells.

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