Nursing Elites

1. Which hormone stimulates milk production in the breasts during lactation?

• A. norepinephrine
• B. antidiuretic hormone
• C. prolactin
• D. oxytocin

Correct answer: C

Rationale: During lactation, the hormone responsible for stimulating milk production in the breasts is 'prolactin.' Prolactin plays a crucial role in initiating and maintaining lactation by promoting the development of alveoli in the mammary glands and stimulating milk synthesis. While oxytocin is involved in the ejection of milk from the breasts, it is prolactin that primarily governs milk production. Norepinephrine is not directly involved in milk production, and antidiuretic hormone primarily regulates water balance and blood pressure, not milk production.

2. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

3. Which hormone is released by the posterior pituitary gland?

• A. Oxytocin
• B. Thyroxine
• C. Insulin
• D. ADH

Correct answer: A

Rationale: Oxytocin is the correct answer. It is released by the posterior pituitary gland and plays a vital role in childbirth and lactation. Oxytocin promotes uterine contractions during labor and milk ejection during breastfeeding. Choice B, Thyroxine, is incorrect as it is produced by the thyroid gland. Choice C, Insulin, is incorrect as it is produced by the pancreas. Choice D, ADH (Antidiuretic Hormone), is also released by the posterior pituitary gland, but it is not the hormone primarily associated with childbirth and lactation.

4. What is the primary function of platelets in the blood?

• A. To carry oxygen
• B. To fight infections
• C. To clot blood
• D. To transport nutrients

Correct answer: C

Rationale: The correct answer is C: To clot blood. Platelets, also known as thrombocytes, have a primary function in blood clotting. They help in the process of coagulation, forming clots to prevent excessive bleeding when injuries occur. Platelets play a crucial role in maintaining the integrity of the circulatory system by sealing off damaged blood vessels and promoting wound healing. Choices A, B, and D are incorrect because platelets do not carry oxygen, fight infections, or transport nutrients in the blood.

5. Which hormone is released by the adrenal medulla?

• A. Cortisol
• B. Adrenaline
• C. Insulin
• D. Somatostatin

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

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