What is the strongest factor that can lead to evolution

There are 4 factors for evolution: mutation, gene flow, genetic drift, and natural selection. Natural selection is the strongest

The correct answer is d

If these are the missing choices: a. to determine skin temperature, place the back of your hand against the patient's skin.b. determine body temperature by touching the patient's hands and feet.c. skin temperature will tell you very little about this patient's condition or well-being.d. the patient's skin temperature and color will likely be warm and red.my answer is: a. to determine skin temperature, place the back of your hand against the patient's skin. using the back of the hand to check for temperature rather than the palm is more effective because the back of the hand has more nerves that can feel and transmit the temperature than the palm.