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. Peripheral vasodilation results in heat loss through which of the following processes?

• A. conduction
• B. convection
• C. radiation
• D. evaporation

Correct answer: C

Rationale: Peripheral vasodilation is the widening of blood vessels near the surface of the skin, allowing more blood to flow near the skin's surface. This process enhances heat loss primarily through radiation. Radiation is the transfer of heat energy in the form of electromagnetic waves. Conduction involves direct contact between objects, convection involves the transfer of heat through fluid or gas, and evaporation involves the phase change of a liquid to a gas, which cools the surface.

3. Positive feedback mechanisms usually result in

• A. changes returning values away from a set point.
• B. stable conditions around a set point.
• C. unstable conditions.
• D. long-term changes.

Correct answer: C

Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.

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. Magnetic resonance imaging might be used to

• A. distinguish between normal and abnormal tissue.
• B. examine an injured knee.
• C. provide detailed images of the brain.
• D. do both A and B.

Correct answer: B

Rationale: Magnetic resonance imaging, commonly known as MRI, is a non-invasive imaging technique used to visualize internal structures of the body. While it can be used to distinguish between normal and abnormal tissue, one of its common applications is to examine musculoskeletal injuries, such as an injured knee. Choice A has been corrected to mention 'normal and abnormal tissue' instead of 'normal and cancerous tissue' as MRI is not solely used for cancer detection. Choice C is incorrect as MRI can provide detailed images of various body parts, not just limited to the brain. Therefore, the correct answer is to examine an injured knee.

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