The ___ is the site of attachment of the embryo.
myometrium
perimetrium
uterine tube
vagina
endometrium
The Correct Answer is E
A. myometrium: This middle layer of the uterine wall consists of thick bundles of smooth muscle. Its primary function is to induce vigorous contractions during parturition to expel the fetus. While it provides structural support, the embryo does not attach directly to this muscular tissue under normal physiological conditions.
B. perimetrium: The perimetrium is the incomplete outermost serous layer of the uterine wall, derived from the visceral peritoneum. It provides a protective external coating and secretes serous fluid to reduce friction with other pelvic organs. It is not involved in the internal process of embryonic implantation.
C. uterine tube: Also known as the fallopian tube, this is the site where fertilization typically occurs. If an embryo attaches here, it results in an ectopic pregnancy, which is a life-threatening medical emergency. The tube lacks the nutritional and distensible capacity to support a developing fetus.
D. vagina: The vagina serves as the copulatory organ and the birth canal for delivery. It is lined with stratified squamous epithelium designed for protection against friction rather than nutrient exchange. Implantation within the vaginal canal is impossible as the tissue cannot support embryonic growth or placentation.
E. endometrium: This inner mucosal lining of the uterus is the specific site where the blastocyst implants. During the secretory phase of the menstrual cycle, it becomes highly vascularized and enriched with glycogen to nourish the developing embryo. It eventually contributes to the formation of the maternal portion of the placenta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 3, 6, 2, 1, 5, 4: Urine formation begins in the nephron and enters the collecting duct for final concentration. Fluid then flows into the minor calyx, then the major calyx, through the ureter to the bladder, and finally exits the body via the urethra. This sequence accurately reflects the anatomical flow of filtrate.
B. 2, 1, 3, 6, 5, 4: This sequence incorrectly places the minor and major calyces before the nephron and collecting duct. Filtration must occur in the microscopic nephron unit before any fluid can enter the macroscopic drainage system of the renal pelvis. The calyces are receiving structures, not forming structures.
C. 3, 1, 2, 6, 5, 4: This arrangement suggests that the major calyx precedes the minor calyx and collecting duct, which is anatomically impossible. The minor calyces merge to form major calyces, which then form the renal pelvis. The collecting duct is the final microscopic segment before the calyces.
D. 6, 3, 2, 1, 5, 4: The collecting duct receives fluid from the distal convoluted tubules of the nephron, so the nephron must come first in the sequence. While both are microscopic, the nephron is the site of initial ultrafiltration and tubular processing. The sequence must start at the renal 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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