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 best describes a blood clot stimulating further clotting?

• A. a positive feedback mechanism.
• B. a negative feedback mechanism.
• C. a process turning itself off.
• D. nervous system communication

Correct answer: A

Rationale: A blood clot stimulating further clotting is an example of a positive feedback mechanism. In positive feedback, the response enhances or amplifies the original stimulus, leading to an increase in the activity. In this case, the formation of a blood clot triggers more clotting activity, creating a cycle of increasing clot formation. Negative feedback mechanisms, on the other hand, work to maintain homeostasis by counteracting changes. Choices B, C, and D are incorrect as they do not accurately describe the situation of a blood clot stimulating further clotting.

3. Is the parietal pericardium attached to the surface of the heart?

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

Correct answer: A

Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.

4. Simple squamous epithelium is an example of a(n)

• A. organ system.
• B. organ.
• C. tissue.
• D. molecule.

Correct answer: C

Rationale: Simple squamous epithelium is a type of tissue, not an organ system, organ, or molecule. Tissues are groups of cells that work together to perform a specific function. In this case, simple squamous epithelium is a thin, single layer of flattened cells that line surfaces involved in passive diffusion, such as the alveoli in the lungs or blood vessels. Therefore, the correct answer is 'tissue.' Choices A, B, and D are incorrect as they do not accurately categorize simple squamous epithelium as a tissue.

5. What causes wrinkled and sagging skin?

• A. Drinking too much water
• B. Heredity alone
• C. Loss of subcutaneous fat and reduced levels of elastin and collagen
• D. Excess subcutaneous fat

Correct answer: C

Rationale: Wrinkled and sagging skin is primarily caused by the loss of subcutaneous fat and reduced levels of elastin and collagen in the skin. Choice A is incorrect as drinking too much water does not lead to wrinkled and sagging skin. Choice B is incorrect because heredity alone does not cause this condition. Excess subcutaneous fat, as mentioned in Choice D, can contribute to a different skin appearance, such as puffiness, but not wrinkled and sagging skin.

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