North American Registry of Midwives (NARM) Practice Exam

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Which hormone is essential for lactation and is produced by the anterior pituitary?

  1. Oxytocin

  2. Prolactin

  3. Estrogen

  4. Testosterone

The correct answer is: Prolactin

Prolactin is the hormone essential for lactation, as it plays a crucial role in the production of milk in the mammary glands following childbirth. When a baby suckles at the breast, signals sent to the mother's brain prompt the anterior pituitary gland to release prolactin. This hormone stimulates the alveolar cells in the breast tissue to produce milk, ensuring that the newborn receives adequate nutrition. In contrast, while oxytocin is also important in the breastfeeding process, particularly in the let-down reflex that allows milk to flow, it is not directly responsible for the initiation of milk production. Estrogen and testosterone are sex hormones that contribute to various bodily functions but do not have a direct role in stimulating lactation. Thus, the primary role of prolactin in promoting milk synthesis makes it the correct answer for this question.