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 true of organelles?

• A. They carry out specific activities.
• B. They are only present in human cells.
• C. They are composed of aggregates of large molecules.
• D. They are found in many types of cells.

Correct answer: B

Rationale: Organelles are not exclusive to human cells but are present in various types of cells across different organisms. Option B is incorrect as it suggests that organelles are only found in human cells, which is false. Choices A, C, and D are correct statements about organelles. Organelles indeed carry out specific activities, are made up of aggregates of large molecules, and can be found in many types of cells.

3. 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.

4. Which of the following is a role of platelets in hemostasis?

• A. formation of plugs
• B. promotion of vasodilation
• C. conversion of prothrombin to thrombin
• D. activation of calcium

Correct answer: A

Rationale: Platelets play a crucial role in hemostasis by forming plugs to stop bleeding. Choice B is incorrect because platelets do not promote vasodilation; instead, they help in vasoconstriction. Choice C is incorrect as the conversion of prothrombin to thrombin is a function of the coagulation cascade involving various clotting factors, not platelets. Choice D is incorrect as platelets do not directly activate calcium; instead, they play a role in the activation of other clotting factors.

5. 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.

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