_____ provides fetal nutrition and secretes hormones that regulate pregnancy and fetal development.
uterus
placenta
myometrium
blastocyte
endometrium
The Correct Answer is B
A. uterus: While the uterus houses the developing fetus, it is the organ within which the nutritive interface is formed. The uterine wall itself provides the environment, but it does not directly perform the complex metabolic exchange or hormone secretion attributed to the specialized fetal-maternal organ.
B. placenta: This temporary organ is responsible for the exchange of nutrients, gases, and wastes between the maternal and fetal blood. It also functions as an endocrine gland, secreting human chorionic gonadotropin, estrogens, and progesterone to maintain the pregnancy. It is the vital lifeline for fetal development.
C. myometrium: The muscular layer of the uterus serves primarily for the mechanical expulsion of the fetus at the end of gestation. It does not possess the transport mechanisms or secretory capacity required for fetal nutrition. Its role is structural and contractile rather than metabolic or endocrine.
D. blastocyte: This is an early developmental stage of the embryo consisting of an inner cell mass and a trophoblast. While the trophoblast eventually gives rise to the placenta, the blastocyte stage itself is too early to provide sustained nutrition. It represents the entity that is being nourished.
E. endometrium: The endometrium provides the initial site for attachment and secretes "uterine milk" for the very early embryo. However, once the placenta is established, the endometrium's role in direct nutrition is superseded by the placental circulatory interface. The placenta becomes the primary regulator of fetal growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bowman's capsule and glomerulus: The renal corpuscle represents the initial blood-filtering component of the nephron. It consists of the glomerulus, a tuft of fenestrated capillaries, surrounded by a double-walled epithelial cup called the glomerular capsule. This structure facilitates the production of filtrate from the blood.
B. the renal pyramid: These cone-shaped tissues are located within the renal medulla and contain the straight segments of nephrons and collecting ducts. While they house parts of the renal system, they are macroscopic anatomical regions rather than the microscopic corpuscle. They do not participate in the initial filtration process.
C. the descending nephron loop: This portion of the renal tubule extends from the proximal convoluted tubule into the renal medulla. It is specialized for water reabsorption via osmosis and is not involved in the initial filtration of blood. The corpuscle always precedes the tubular segments in nephron anatomy.
D. the kidney cortex and medulla: These terms describe the primary internal layers of the kidney organ. The cortex contains the renal corpuscles and convoluted tubules, while the medulla contains the renal pyramids. These are broad anatomical zones rather than the specific components of a single renal corpuscle.
E. the renal papilla: The papilla is the apex of a renal pyramid that empties urine into the minor calyx. It consists of the distal ends of collecting ducts where final urine concentration occurs. It is located far downstream from the site of initial filtration in the corpuscle.
Correct Answer is D
Explanation
A. is not reabsorbed by the tubule cells: While some substances like mannitol act as osmotic diuretics because they remain in the tubule lumen, alcohol follows a different physiological pathway. Alcohol is a lipid-soluble molecule that can diffuse across membranes rather than relying on tubular transport inhibition. Its diuretic effect is neuroendocrine in origin rather than purely osmotic.
B. increases the rate of glomerular filtration: Although alcohol can cause minor changes in systemic blood pressure, it does not significantly increase the glomerular filtration rate as its primary mode of action. A slight increase in flow would not account for the profound volume of dilute urine produced. The primary diuretic effect occurs later in the distal segments of the nephron.
C. increases secretion of ADH: Increased secretion of antidiuretic hormone would result in the insertion of aquaporins and the retention of water, leading to concentrated urine. This is the opposite of the clinical effect observed with alcohol consumption. Stimulating ADH would prevent diuresis rather than promote it, leading to fluid volume expansion.
D. inhibits the release of ADH: Ethanol directly suppresses the hypothalamic-hypophyseal tract, reducing the secretion of antidiuretic hormone from the posterior pituitary. Without ADH, the collecting ducts remain impermeable to water, preventing reabsorption and resulting in the excretion of large volumes of dilute urine. This inhibition is the primary cause of alcohol-induced dehydration.
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