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An individual at her initial prenatal care visit is 10 weeks’ gestation and reports that she has had a 2-pound weight loss over the past two months. She states that she has intermittent nausea and vomits once daily. Her urine specimen is negative for ketones and her oral mucosa is moist. Her temperature is 98.2 degrees F. The most appropriate management is:

When modifying the environment for patients who hallucinate, the environment should be all of the following except:

Which of the following factors have the strongest association with duration of second stage of labor? 

A deep second-degree perineal laceration involves: 

The midwife appropriately uses this basic knot when repairing a second-degree perineal laceration. 

A benefit of pushing in an upright position is: 

A low-risk, nulliparous person with an epidural is fully dilated, vertex, and +1 station and has been pushing for the past 3 hours. Membranes have been ruptured for 6 hours with clear amniotic fluid. The patient is afebrile with a category I fetal heart rate tracing. Appropriate management is:

Which of the following types of pain can be experienced by a laboring person? 

All except one are strategies for modifying the environment for a paranoid patient.

Contraindications for pudendal nerve block include: