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. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Cerebellum
• D. Hypothalamus

Correct answer: B

Rationale: The medulla oblongata, located in the brainstem, plays a crucial role in controlling vital functions such as breathing, heart rate, and blood pressure. It serves as the control center for automatic functions necessary for survival, making it the correct choice in this scenario. The cerebrum is responsible for higher brain functions like thinking and voluntary movements, so it does not control basic physiological functions like breathing and heart rate. The cerebellum is mainly involved in coordination and balance, while the hypothalamus regulates body temperature, hunger, and thirst, but not specifically breathing and heart rate.

3. Which type of muscles are involved in peristalsis?

• A. Smooth muscles
• B. Cardiac muscles
• C. Skeletal muscles
• D. Epaxial muscles

Correct answer: A

Rationale: Peristalsis is a coordinated, wave-like muscular contraction that propels food and other materials through the digestive tract. Smooth muscles are responsible for this movement in the gastrointestinal tract, providing the involuntary contractions needed for peristalsis to occur. Skeletal muscles, cardiac muscles, and epaxial muscles are not directly involved in peristalsis. Cardiac muscles are found in the heart and are responsible for its contraction. Skeletal muscles are attached to bones and control voluntary movements. Epaxial muscles are located along the vertebral column and are involved in the movement and stabilization of the spine.

4. Which of the heart's four chambers is the largest and the strongest?

• A. Left ventricle
• B. Left atrium
• C. Right ventricle
• D. Right atrium

Correct answer: A

Rationale: The correct answer is the left ventricle. The left ventricle is the largest and strongest chamber of the heart. It pumps oxygenated blood to the entire body, making it a vital component of the circulatory system. The left atrium receives oxygen-rich blood from the lungs, the right ventricle pumps deoxygenated blood to the lungs for oxygenation, and the right atrium receives deoxygenated blood from the body.

5. Which type of muscle is found in the walls of hollow organs?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. Striated muscle

Correct answer: C

Rationale: Smooth muscle tissue is found in the walls of hollow organs, such as the intestines, blood vessels, and bladder. It contracts involuntarily, allowing for movements like peristalsis in the intestines and regulation of blood flow in blood vessels. Skeletal muscle (Choice A) is attached to bones and helps in voluntary movements. Cardiac muscle (Choice B) is found in the heart and contracts involuntarily to pump blood. Striated muscle (Choice D) refers to both skeletal and cardiac muscles, which have a striped appearance due to the organization of their filaments. However, smooth muscle (Choice C) is specifically the type found in hollow organs.

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