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. 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.

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. 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.

5. Homeostasis exists if concentrations of water, nutrients, and oxygen in the body and heat and pressure __________.

• A. decrease steadily
• B. remain within certain limited ranges
• C. increase when the body is stressed
• D. fluctuate greatly between very high and low values

Correct answer: B

Rationale: Homeostasis is the body's ability to maintain stable internal conditions despite external changes. To achieve this balance, concentrations of essential substances must remain within specific ranges. Choice A is incorrect because decreasing concentrations would not maintain stability. Choice C is incorrect as increasing concentrations when the body is stressed would disrupt homeostasis. Choice D is incorrect as fluctuating greatly between high and low values would also not support the body's stability. Therefore, the correct answer is B, as it aligns with the concept of homeostasis by emphasizing the need for stability within certain limits.

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