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. Are the ears lateral to the eyes?

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

Correct answer: A

Rationale: The correct answer is A: True. Lateral means towards the side or away from the midline. In human anatomy, the ears are located on the sides of the head, which is indeed lateral to the eyes that are positioned more towards the front of the face. Therefore, the statement that the ears are lateral to the eyes is true. Choice B is incorrect because the ears are not positioned closer to the midline than the eyes. Choice C is incorrect as the relationship between the ears and eyes in terms of lateral positioning can be determined anatomically. Choice D is incorrect as there is a clear anatomical relationship between the ears and eyes.

3. Maintaining a stable internal environment typically requires

• A. positive feedback mechanisms.
• B. an unstable outside environment.
• C. decreased atmospheric pressure.
• D. negative feedback mechanisms.

Correct answer: D

Rationale: The correct answer is 'negative feedback mechanisms.' In biological systems, negative feedback mechanisms help maintain homeostasis by counteracting any deviations from the set point. They work to stabilize internal conditions and keep them within a narrow range. On the other hand, positive feedback mechanisms amplify changes and are not involved in maintaining stability. Choice B, 'an unstable outside environment,' is incorrect as internal stability is independent of external conditions like weather. Choice C, 'decreased atmospheric pressure,' is also incorrect as it does not directly relate to internal homeostasis.

4. The organ systems responsible for integration and coordination are the nervous and endocrine systems.

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

Correct answer: A

Rationale: The correct answer is True. The nervous and endocrine systems are indeed responsible for integration and coordination in the body. The nervous system uses electrical impulses to send signals quickly, while the endocrine system uses hormones to send chemical messages more slowly. Together, they work to regulate various bodily functions and maintain homeostasis. The other choices are incorrect as the statement accurately describes the roles of the nervous and endocrine systems in integration and coordination.

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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