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. An individual with which of the following blood type can receive only blood of that same type?

• A. Type O
• B. Type A
• C. Type B
• D. Type AB

Correct answer: A

Rationale: The correct answer is Type O. Individuals with blood type O can only receive blood from donors with blood type O. This is because type O blood lacks both A and B antigens, so if a person with type O blood receives blood with A, B, or AB antigens, their immune system will recognize these as foreign substances and attack them. Choices B, C, and D are incorrect because individuals with type A can receive blood from A or O donors, individuals with type B can receive blood from B or O donors, and individuals with type AB can receive blood from A, B, AB, or O donors.

3. Which of the following bones is a component of the appendicular skeleton?

• A. Xiphoid process
• B. Symphysis pubis
• C. Sacrum
• D. Sternum

Correct answer: B

Rationale: The correct answer is B: Symphysis pubis. The symphysis pubis is a component of the appendicular skeleton, specifically part of the pelvic girdle. The xiphoid process (Choice A) is part of the axial skeleton, located at the lower end of the sternum. The sacrum (Choice C) is also part of the axial skeleton, forming the posterior part of the pelvis. The sternum (Choice D) is part of the axial skeleton, located in the center of the chest.

4. Are the oral, nasal, orbital, and middle ear cavities in the dorsal cavity?

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

Correct answer: B

Rationale: The correct answer is False. The oral, nasal, orbital, and middle ear cavities are actually part of the ventral cavity, not the dorsal cavity. The dorsal cavity contains the cranial and spinal cavities, while the ventral cavity includes the thoracic, abdominal, and pelvic cavities. Therefore, these structures are located in the ventral cavity, not the dorsal cavity. Choices A, C, and D are incorrect because these structures are not situated in the dorsal cavity.

5. 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.

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