The clinic nurse is reviewing breastfeeding with a pregnant client. Which hormone will the nurse include in the patient's teaching plan as the one primarily responsible for lactation after birth?
a. Prolactin
b. Estrogen
c. Luteinizing
d. Progesterone
ANS: A
Prolactin is secreted by the anterior pituitary gland. Secretion of prolactin is suppressed by estrogen and progesterone produced by the placenta. When the placenta separates after birth, the effects of the estrogen and progesterone stop and milk is produced with infant suckling. Luteinizing hormone is present in the ovulatory cycle.
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A patient is prescribed phentermine (Ionamin) in an effort to promote weight loss. What is the most common adverse effect of phentermine?
A) Dry mouth B) Hypernatremia C) Fatigue D) Hypoglycemia
The primary intervention for hyperglycemic hyperosmolar syndrome (HHS) is
a. rapid rehydration. b. monitoring vital signs. c. high-dose intravenous (IV) insulin. d. hourly urine sugar and acetone testing.
Which of the following would the nurse most likely find in a 10-year-old child in the period of concrete operational thought?
A) Participation in abstract thinking B) Ability to classify similar objects C) Problem solving via the scientific method D) Ability to make independent decisions
Estrogen plays an integral role in which of the following? (Select all that apply.)
a. Relaxing the smooth muscle of the uterus to prevent spontaneous abortion b. Increasing blood flow to the uterus by pro-moting vasodilation c. Changing the sensitivity of the respiratory system to carbon dioxide d. Softening the cervix, initiating uterine activity, and maintaining labor e. Working to prevent a maternal immunologic response to the fetus f. Developing the breasts in preparation for lactation and secretion of prolactin by the pituitary gland