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 may indicate hypersecretion of thyroid hormone?

• A. weight loss
• B. Bradycardia
• C. cold intolerance
• D. lethargy

Correct answer: A

Rationale: Weight loss is a common symptom of hyperthyroidism, which is characterized by an excess secretion of thyroid hormone. This increased metabolic rate can lead to weight loss despite normal or increased appetite. Bradycardia (slow heart rate), cold intolerance, and lethargy are more commonly associated with hypothyroidism, where there is an insufficient production of thyroid hormone. Therefore, choices B, C, and D are incorrect in the context of hypersecretion of thyroid hormone.

3. Which part of the brain regulates heart rate, respiratory rate, and blood pressure?

• A. Corpus Callosum
• B. Medulla Oblongata
• C. Pituitary Glands
• D. Pineal Glands

Correct answer: B

Rationale: The correct answer is the Medulla Oblongata. This part of the brain is responsible for regulating essential autonomic functions such as heart rate, respiratory rate, and blood pressure. The Corpus Callosum is responsible for connecting the left and right hemispheres of the brain, not for regulating these vital functions. The Pituitary Glands and Pineal Glands are part of the endocrine system and are not directly involved in regulating heart rate, respiratory rate, and blood pressure.

4. Why are anatomy and physiology difficult to separate?

• A. Physiological functions depend on anatomical structures.
• B. Physiological functions in an organism are ongoing.
• C. Body parts provide structural support.
• D. Our understanding of physiology is changing more than our understanding of anatomy.

Correct answer: A

Rationale: Anatomy and physiology are difficult to separate because physiological functions depend on anatomical structures. The correct answer highlights the interdependence between the two disciplines; physiological functions are carried out by anatomical structures. Choice B is incorrect as it only states a characteristic of physiological functions without addressing the relationship with anatomy. Choice C is incorrect as it talks about body parts providing structural support, which is not directly related to the interdependence of anatomy and physiology. Choice D is incorrect because the rate of change in understanding does not necessarily dictate the difficulty of separating the two disciplines.

5. The removal of wastes produced by metabolic reactions is

• A. metabolism.
• B. absorption.
• C. assimilation.
• D. excretion.

Correct answer: D.

Rationale: The correct answer is 'excretion.' Excretion is the process of eliminating waste products produced by metabolic reactions from the body. Metabolism (Choice A) refers to the chemical processes that occur within a living organism to maintain life. Absorption (Choice B) is the process of taking in nutrients and fluids into the body. Assimilation (Choice C) is the process of absorbing and incorporating nutrients into the body after digestion. Therefore, excretion is the most appropriate term for the removal of metabolic wastes.

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