The placenta:

1. produces nutrients for fetal nutrition.
2. secretes both estrogen and progesterone.
3. forms a protective, impenetrable barrier to microorganisms such as bacteria and viruses.
4. excretes prolactin and insulin.


2
1. Incorrect. The placenta does not produce nutrients. The placenta functions as a means of metabolic exchange between the maternal and fetal blood supplies.
2. Correct. One of the early functions of the placenta is as an endocrine gland that produces four hormones necessary to maintain the pregnancy and support the embryo and fetus—hCG, hPL, estrogen, and progesterone.
3. Incorrect. Many bacteria and viruses can cross the placental membrane.
4. Incorrect. One of the early functions of the placenta is as an endocrine gland that produc-es four hormones necessary to maintain the pregnancy and support the embryo and fe-tus—hCG, hPL, estrogen, and progesterone.

Nursing

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In which civilization were hospitals first established?

a. Babylonian and Assyrian civilizations b. ancient Greece civilization c. Roman civilization of the Roman Empire d. European civilization of the Middle Ages

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A patient receives morphine and shows signs of toxicity. The prescriber orders naloxone [Narcan] to reverse the effects of the morphine. The nurse understands that the naloxone reverses morphine toxicity by which action on morphine receptor sites?

a. Blocking transmitter reuptake b. Inhibiting transmitter release c. Interfering with transmitter storage d. Preventing activation of receptors

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One month ago, a patient diagnosed with borderline personality disorder and a history of self-mutilation began dialectical behavior therapy. Today the patient phones to say, "I feel empty and want to hurt myself." The nurse should:

a. arrange for emergency inpatient hospitalization. b. send the patient to the crisis intervention unit for 8 to 12 hours. c. assist the patient to choose coping strategies for triggering situations. d. advise the patient to take an anti-anxiety medication to decrease the anxiety level.

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Assuming that all are accurate, which documentation about a patient's level of consciousness is best?

a. Patient is lethargic and slept when undisturbed. b. Patient responds to tactile stimulation; falls back to sleep immediately after tactile and verbal stimulation are stopped. c. Patient slept throughout the day, missing his meals and bath. d. Patient appears to be tired as he slept throughout the day except when bathed.

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