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 illustrates a positive feedback mechanism?

• A. Maintaining blood pressure
• B. Uterine contractions during childbirth
• C. Body temperature control
• D. Control of blood sugar

Correct answer: B

Rationale: The correct answer is uterine contractions during childbirth. This is an example of a positive feedback mechanism where the initial stimulus (contractions) leads to an increase in intensity and frequency, ultimately resulting in childbirth. In contrast, choices A, C, and D (maintaining blood pressure, body temperature control, and control of blood sugar) are examples of negative feedback mechanisms. These mechanisms work to maintain stability by counteracting any deviations from the set point, rather than amplifying the response like in a positive feedback mechanism.

3. 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.

4. Ceroid pigments and lipofuscin accumulate with aging, impairing a cell's ability to withstand the damaging effects of oxygen free radicals.

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement provided in the question is true. Ceroid pigments and lipofuscin are products of cellular damage and aging. These substances accumulate within cells over time and can impair cellular functions, including the ability to withstand the damaging effects of oxygen free radicals. Choice B, 'False,' is incorrect because the accumulation of ceroid pigments and lipofuscin does indeed impair a cell's ability to deal with oxidative stress. Choices C and D are also incorrect as the statement is true.

5. Does the digestive system filter wastes from the blood?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: B

Rationale: The correct answer is False. The digestive system is responsible for breaking down food and absorbing nutrients, not filtering wastes from the blood. The excretory system, particularly the kidneys, filters wastes from the blood to form urine. Choices A, C, and D are incorrect because the digestive system's primary function is not waste filtration but rather digestion and absorption of nutrients.

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