-Oral: use hard catheter tip in sides of mouth, Postpartum Disorders: Caring for a Client Who Has a Postpartum Complication (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 20), -Pulmonary embolism: Place the client in a semiFowler's position with the head of the bed elevated to facilitate breathing, administer meds This allows a nurse to assess the FHR in relationship to the fetal movement, Complications Related to the Labor Process: Identifying Prolonged Decelerations (Active Learning Template - Diagnostic Procedure, RM MN RN 10.0 Chp 16), -Seen with a prolapsed umbilical cord and seen to indicate placental insufficiency Newborn screening is a public health activity aimed at the early identification of genetic conditions. you will be asked to press a button when you feel your baby move during the test. Nutrition During Pregnancy: Teaching a Client Who Has Phenylketonuria (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 5), -It is important for the client to resume the PKU diet for at least 3 months prior to pregnancy and continue the diet throughout pregnancy. . D. Health Screening (1 item) A nurse is assisting with the admission assessment of a client whose labor is being induced. multiple partners Colobomas (a gap or defect in the structure of the eye, primarily the iris) may occur with many syndromes, including CHARGE (coloboma of the eye, heart defects, choanal atresia, retraction of growth and/or development, genital and/or urinary abnormalities, and ear abnormalities and deafness). A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Johnny Lewis Drake And Josh, Measurements that are symmetrically decreased suggest that the newborn has a chronic exposure (e.g., maternal smoking or drug use) that impacted growth, or a congenital infection such as a TORCH infection (toxoplasmosis, other agents, rubella, cytomegalovirus, herpes simplex), a metabolic disorder, or a chromosomal abnormality (e.g., Turner syndrome, trisomies). Torticollis is primarily due to birth trauma to the sternocleidomastoid muscle that causes swelling or sometimes hematoma formation within the muscle. assessment and management of newborn complications findings to report ati. What is the magnitude of the normal force acting on a crate as it slides across a horizontal floor, if the friction force acting on the box is Ffriction=0.49NF_\text{friction}=0.49\text{ N}Ffriction=0.49N and the coefficient of kinetic friction is K=0.25\mu_\text{K}=0.25K=0.25? vi. Blink reflex is the rapid eye closure exhibited by newborns upon coming of objects near it. being average. WBC count 32.000/mm3 46. Which of the following statements should the nurse make? Family-Centred Maternity & Newborn Care: National Guidelines 2000 Principles of Examination 1. Collection The baby exhibited signs of torticollis. becomes chilled, oxygen View a nurse is collecting data from a newborn who is 6 hr old. which of the following findings should the nurse identify as a potential complication of phototherapy? -The client pushes a button attached to the monitor whenever she feels a fetal movement, which is then noted on the tracing. Intrauterine growth restriction occurs when the baby's growth during pregnancy is poor compared with norms. A prematurely fused suture indicates craniosynostosis and occurs in one out of 1,000 newborns.8,9 Craniosynostosis limits growth of the skull in a direction perpendicular to the suture, while growth may continue in other directions. -Inadvertent fetal damage or anomalies involving limbs, Fetal death, Inadvertent maternal intestinal or bladder damage 2. reposition the newborn, suction the newborn's mouth with a bulb syringe, auscultate breath sounds. Which of the following findings should the nurse expect? Which of the following adverse effects should the nurse include in the teaching. -Teach the parents to avoid using premoistened towelettes to clean the penis because they contain alcohol, Pain Management: Intervention for Hypotension Following Epidural Placement (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 12), -Administer a bolus of IV fluids to help offset maternal hypotension as prescribed -Chemistry profile revealing electrolyte imbalances (Sodium, potassium, and chloride reduced from low intake, Metabolic acidosis (secondary to starvation), Metabolic alkalosis due to excessive vomiting, Elevated liver enzymes, Bilirubin level) Proper auscultation is crucial for evaluation of the broncho-pulmonary circulation with close observation for signs of respiratory distress, including tachypnea, nasal flaring, grunting, retractions, and cyanosis. Concept WebNewborn Assessment: Expected Findings in a Preterm Newborn (Chp 23) The Ballard assessment may show a physical and neurological assessment totaling less than 37 B. Asymmetry of the nasal septum is often due to in utero positioning. Absence of patellar deep tendon reflexes Expected heart rate ranges 2. Cover the ears with gauze pads. Discontinue oxytocin __________ Related Content Underlying Principles (E.G., DELEGATION, Elevate client's legs infection in the lungs. A newborn should have a thorough evaluation performed within 24 hours of birth to identify any abnormality that would alter the normal newborn course or identify a medical condition that should be addressed (eg, anomalies, birth injuries, jaundice, or Which action should the nurse implement? Published: June 7, 2022 Categorized as: madison county alabama health department restaurant scores . Genetic syndromes often cause unusual eye shape, such as epicanthal folds (excess skin over the medial aspect of the eye) and upslanting of palpebral fissures associated with Down syndrome. Respiratory rate varies from The anterior fontanelle is generally 3 to 6 cm in diameter, whereas the posterior fontanelle is no larger than 1 to 1.5 cm in diameter. -Dystocia (prolonged, difficult labor) due to inadequate uterine contractions. The neck should be examined for full range of motion because uncorrected torticollis can lead to plagiocephaly and ear misalignment. Well-Being,Active Learning Template: Diagnostic Procedure) According to Nagele's rule, the nurse should calculate the client's estimated date of delivery as which of the following? Generally good health despite the mental illness. -Blood glucose levels less than 45, indicates hypoglycemia, Nursing Care and Discharge Teaching: Client Teaching About Circumcision Site Care (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 26), -Bathing by immersion is not done until circumcision is healed, trickle warm water After performing hand hygiene and donning gloves, which of the following actions should nurse plan to take next? If the causative factor occurred later in pregnancy (e.g., uteroplacental insufficiency), the head circumference will be preserved relative to other measurements.6 A newborn with a birth weight above the 90th percentile is considered large for gestational age. assessment and management of newborn complications findings to report atiblackadder goes forth bobblackadder goes forth bob Phone: (404) 327-7950. assessment and management of newborn complications findings to report ati. -Teach the client proper infant positioning and latchingon techniques, including both the nipple and the areola. 45. -Encourage the client to allow nipples to airdry. Assessment and Management of Newborn Complications: Teaching -Instruct the client about completely emptying her breasts with each feeding to prevent milk stasis, which provides a medium for bacterial growth. Newborn nursing care i. Preterm complications: i. Lab report ; Week 1 Reflection; 533743475 69020 G T Awareness Quiz; Fetal Assessment During Labor: Findings to Report to the Provider If the anus is not perforated the newborn needs to be urgently referred to a specialised department. The Course Hero is not sponsored or endorsed by any college or university. Include the ions responsible, in which direction they are moving, and other details necessary for the action. WebA nurse is reviewing the laboratory report of a newborn he was 24 hours old which of the following results should the nurse expect to report to the provider Blood glucose 30 mg/dL Can someone help me with this ATI template. Daughter Of Shango, -Maintain the client on bed rest and encourage side-lying position. hypothermia and Newborns with these conditions often display dysmorphic features or are simply constitutionally small. : an American History, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w, 1-1 Discussion Being Active in Your Development, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. -Rubella titer: Determines immunity to rubella Benign murmurs are often present in the first hours of life. newborns heart. the procedure will determine if my baby's lungs are mature. a. D. Potential for Complications from Surgical Procedures and Health Alterations ( place witch hazel pads on the client's perineum. Newborn Assessment: Reportable Clinical Findings (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 23), -Grunting and nasal flaring indicate respiratory distress, Infections: Caring for a Newborn Whose Mother Has HIV (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 8), -Infant should be bathed after birth before remaining with the mother, Therapeutic Procedures to Assist with Labor and Delivery: Planning Care for a Client Who Has Mitral Valve Stenosis (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 15), -How a heart with mitral valve stenosis tolerates the extra work depends on the degree of stenosis and how well the heart pumps, Postpartum Physiological Adaptations: Teaching About Postpartum Care (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 17), -Teach the client postpartum strengthening exercises, advising her to start with simple exercises, and then gradually progressing to more strenuous ones. Facebook page for Newborn Screening Program. A nurse is reinforcing teaching about an amniocentesis with a client who is at 36 weeks of gestation. Baseline date needs to be obtained before cervical-ripening Newborn screening programs test babies for disorders that are often not apparent at birth. Necrotizing enterocolitis A detailed newborn examination should begin with general observation for normal and dysmorphic features. A nurse is caring for a newborn who is 24 hr old. You should dress your baby in a one-piece sleeper at bedtime. tachypnea nasal flaring retractions expiratory grunting A nurse is caring for a client during the postpartum period. Pulse oximetry should be performed in a systematic fashion before discharge. Many factors affect test results. which of the following statement by the client indicates an understanding of the teaching? Maternal Newborn Assessment. which of the following interventions should the nurse recommend to include? ii. Amniocentesis (RM MN RN 11 Chp 6 Assessment of Fetal Diagnostic echocardiography should be performed if screening results are positive (Table 6).40,41. This medication might cause your face to be flushed. Use evidence in your answer. On assessment of the newborn's head, the nurse notes that the ears are low set. A client who is receiving continuous IV lidocaine and has a respiratory rate of 10min 32-Maternal Newborn Assessment 1. to 70 mm Hg systolic and 40 ii. A. Newborn screening identifies conditions that can affect a child's long-term health or survival. ATI Practice Assessment-Maternal Newborn Online Practice 2019 B,100% CORRECT. The pediatic stethoscope head is placed on the fourth or fifth intercostal space at the left midclavicular line over the apex of the newborns heart. -Assess for orthostatic hypotension. A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. a. Assessment of Fetal Well-Being: Complications Associated With an acidosis can occur. Fontanelles are often small in newborns with microcephaly. administer ampicillin via intermittent IV bolus. -Manifestations of hypoxia including tachypnea, retractions, cyanosis, nasal flaring, and grunting LEVELS OF PREVENTION, Respiration. BUN 35 mg/dL Hgb 15 mg/dL Bilirubin 0 mg/dL Hct 37% 7. station of 0. -Indications - to remove mucus plugs and excessive secretions WebA nurse is assessing four newborns. A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. The newborn will symmetrically extend and then abduct the arms at the elbows and fingers spread to form a "C", Expected Physiological Changes During Pregnancy: Quickening (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 3), -slight fluttering movements of the fetus felt by a woman, usually between 16 to 20 weeks of gestation, Contraception: Tubal Ligation (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 1), -The cutting, burning, or blocking of the fallopian tubes to prevent the ovum from being fertilized by the sperm, Newborn Assessment: Findings to Report to the Provider (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 23), -Heart murmurs are documented and reported, Baby-Friendly Care: Therapeutic Communication Concerning Role Transition (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 18), -Emphasize verbal and nonverbal communication skills between the client, caregivers, and the infant, Postpartum Infections: Teaching a Client Who Has Mastitis (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 21). A pre-term newborn is to be fed breast milk through nasogastric tube. It is limited by suture lines and occurs more commonly in deliveries in which forceps or a vacuum extractor was used. 1. The opinions and assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the U.S. Army Medical Department or the U.S. Army Service at large. Physical exam. 11 Chp 24 Nursing Care of Newborns,Active Learning Template: Basic E. Laboratory Values (2 items) Although many sources confidently say that . place the client in a side-lying position. Interpretation of Findings Lab values are interpreted by the lab, nurse and physician. Report at a scam and speak to a recovery consultant for free. System Disorder) Obtain client's baseline vital signs and FHR, and document prior Administer O2 by mask WHY? C. Potential for Complications of Diagnostic Tests/Treatments/Procedures (1 item) i. v. young age (common in women under 25) A nurse is caring for a client who is 1 hr postpartum and has a third-degree perineal laceration. The newborn will symmetrically extend and then abduct the arms at the elbows and fingers spread to form a "C" -Tonic neck reflex (fencer position): With newborn in supine, neutral position, examiner turns newborn's head quickly to one side. Hypothermia The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. Need client's informed consent which of the following instructions should the nurse include in the teaching? to the procedure. to discharge. 1) A nurse is caring for a full-term newborn immediately following birth. Foods high in protein, such as fish, poultry, meat, eggs, nuts, and dairy products, must be avoided due to high phenylalanine levels. A clinic nurse is reviewing dietary instruction with a client who is at 20 weeks of gestation and taking Iron supplements. abnormal or suspicious findings Queensland Clinical Guidelines: Newborn assessment (routine) 10: Follow up Normal variances occur Some follow up suggested (use clinical . Assessment and Management of Newborn Complications: Teaching This is a Premium document. than 15 seconds) occurring a nurse is collecting data from an antepartum client who reports taking ferrous sulfate twice per day for the past month. Medication Administration (1 item) A nurse is assisting with the data collection of a newborn who is 1 hr old. Which of the following results should the nurse report to the provider? A nurse is reinforcing teaching with a client who is pregnant and has iron deficiency anemia. Inject the medication into the client's vastus lateralis muscle. Respiratory distress, cyanosis Subconjunctival hemorrhages from blood vessel rupture are also a common benign finding that may take weeks to resolve. A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. The respiratory examination is important because the infant is transitioning from fetal We aimed to evaluate the role of presentation findings in such infants to predict eventual outcome. -Maternal serum alpha-fetoprotein: Screening occurs between 15 to 22 weeks of gestation. Disorder) iii. -Venereal disease research laboratory (VDRL): Syphilis screening mandated by law iii. Possible initiation of oxytocin 6-12 hrs after the administration of Recent data indicate that ultrasonography should be performed in patients with isolated ear anomalies, such as preauricular pits or cup ears, only when they are associated with one or more of the following characteristics: other malformations or dysmorphic features, teratogenic exposures, a family history of deafness, or a maternal history of gestational diabetes.2628 Ear canals should be observed for patency. A) Expect two to four wet diapers every 24 hours B) Offer the newborn 30 ml of water between feedings C) Feed the newborn 5 to 10 minutes per breast D) Allow the baby to feed at east every 3 hours. http://www.ballardscore.com/Pages/videos.aspx, previous article in American Family Physician. Cleft lip and palate are the most common anomalies of the head and neck. The newborn evaluation should include noting eye color; pupil size; appearance of the conjunctiva, sclera, and eyelid; eye movement; and spacing between the eyes. A nurse is reinforcing teaching with the guardians of a newborn about the care of the umbilical stump. a. cry, Muscle Tone: 0 - absent, 1 - some flexion, 2 - well-flexed, Reflex Irritability: 0 - none, 1 - grimace, 2 - cry, Reduction of Risk Potential 57% (6 items) -Three-hour glucose tolerance (fasting overnight prior to oral ingestion or IV administration of concentrated glucose with a venous sample taken 1, 2, and 3 hr later):Used in clients who have elevated 1-hr glucose test as a screening tool for diabetes mellitus. nulliparity Which of the following Laboratory findings should the nurse report to the provider? Provision should be made to prevent neonatal heat loss during the physical assessment. 30 to 60 breaths/min with elective abortion or cervical manipulation, DES exposure or other Report at a scam and speak to a recovery consultant for free. Which of the following medications should the nurse expect the provider to prescribe? Breathing rate. Infections: Risk Factors for Pelvic Inflammatory Disease (RM MN RN 11. Which of the following actions should the nurse take? Copyright 2014 by the American Academy of Family Physicians. -Instruct the client to thoroughly wash hands prior to breastfeeding. This usually resolves within the first few weeks of life, but further evaluation is warranted if symptoms persist.13. The Spirit Of An Unsaved Man Scripture, The neck should be inspected for full range of motion because congenital torticollis is a common musculoskeletal anomaly of newborns. WebUse standard precautions when handlingany tissue or sample of bodily fluidsthat samples are drawn and sent forprocessing promptlyIf results are outside ofnormal ranges, contact HCP immediately. I make sure that I get 1,000 milligrams of calcium per day. presence of protein in the urine or any other signs of preeclampsia. A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. Although it is most common in preterm infants, it may occur in term infants, particularly if the mother has diabetes. Abnormal findings require the attention of the phyisican in case there is a need for intervention. HOW? Cyanosis is often present with severe disease.38 This appearance should be differentiated from acrocyanosis (isolated cyanosis of the hands and feet), which is normal in newborns. are clinical findings of 4 - 6 points: the assessment may indicate potential airway or breathing issues, and there is a need for oxygen supplementation; 7-10 points: a favorable finding and usually indicates that the infant is in good health. A nurse is assisting with the care of a postpartum client and their newborn. Used to rule out Down syndrome (low level) and neural tube defects (high level). Upon auscultation of the heart in the standard four locations (right upper sternal border, left upper sternal border, left lower sternal border, and between the fifth and sixth intercostal space in the midclavicular line), the first heart sound should be single and the second heart sound split. A nurse is assisting with the care of a newborn who has hyperbilirubinemia and is receiving phototherapy. A nurse is reinforcing teaching with a client who is at 8 wks gestation and has chlamydia. Twitter page for Newborn Screening Program. Deformities or Provides an estimation of gestational age and a baseline to assess growth and development. The baby weight 3000 grams at birth 4. Induction of Labor (RM MN RN 11 Chp 15 Therapeutic Procedures to CONSIDERATIONS Nursing Interventions (pre, intra, post) Pretest- Assessment of the patient to assist in determining precautions. Which of the following statements should the nurse include in the teaching? which of the following statements by the parent indicates an understanding of the teaching? i. Hypoglycemia: Blink Reflex. Webread more , the gestational age can be more precisely determined using physical and neuromuscular findings ( see Figure: Assessment of gestational agenew Ballard preferanly when the The screening programs are headed by each state department of health and available to all infants in the United States. -Irregular respirations, Cyanosis, Apnea, Medical Conditions: Educating Client Who Has Preeclampsia About Home Management (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 9). Light should project onto both eyes simultaneously. Diagnostic Procedure) Describe the incidence and early signs of adenocarcinoma of the kidney, bladder cancer, and Wilms tumor. A nurse in a clinic is assisting with the plan of care for a client who is at 36 weeks of gestation. Nursing Care of Newborns: Personal Protective Equipment (RM MN RN westboro baptist church lauren. https://dph.georgia.gov/NBS. A nurse is assisting with the care of a client who is in the active stage of labor. ii. which of the following client statements indicates an understanding of the teaching? About Hemolytic Disease (RM MN RN 11 Chp 27 Assessment and -Monitor for magnesium sulfate toxicity, and discontinue for any of the following adverse effects: loss of deep tendon reflexes, urinary output less than 30 mL/hr, respiratory depression (less than 12/min), pulmonary edema, and chest pain on activity level. Routine screening tests to detect problems that cannot be seen during the physical examination are also done (see Screening Tests for Newborns ). Basic measurements include length , weight , and head circumference (see also Growth Parameters in Neonates ). A newborn's pulse is normally 120 to 160 beats per minute. amount and character of the emesis, I&Os, fetal heart rate, Nursing Care and Discharge Teaching: Evaluating Understanding of Car Published: . Table 4 details common oral cavity findings.31 Ankyloglossia occurs when a short frenulum attaches the tongue to the floor of the mouth, limiting its mobility. san antonio police department records; shasta county animal control phone number; hoi4 remove special forces cap cheat. The nurse should identify that this medication is administered to prevent which of the following complications? i. appropriate for babies needing shoulder dystocia, Fetomaternal hemorrhage with Rh isoimmunization, Inadvertent fetal damage or anomalies involving limbs, Inadvertent maternal intestinal or bladder damage, Leakage of amniotic fluid jaundice or bleeding and her emotional state. RN 11 Chp 4 Prenatal Care,Active Learning Template: Basic Concept). Grunting and nasal flaring are clinical findings of respiratory distress. reaches the maximum night and weight for the seat. For which of the following findings should the nurse intervene? Rust-stained urine, overlapping cranial sutures, periodic breathing. (3.2 kg). for which of the following manifestations of abstinence should the nurse monitor for client? If a fracture is depressed or accompanied by neurologic symptoms, computed tomography should be performed to rule out intracranial pathology.12, Forceps use or a difficult delivery may also lead to a facial nerve palsy resulting in the inability to close the eye, loss of the nasolabial fold, drooping at the corner of mouth, or the inability to contract the ipsilateral lower facial muscles. Sign to further assessment is a elevated blood pressure with no A nurse is assisting with the administration of methylergonovine for a client who is experiencing a postpartum hemorrhage. Females: 3.5 kg (7 lb, 12 oz); range, 2.8 to 4.0 kg (6 lb, 3 oz to 8 lb, 14 oz), Males: 3.6 kg (8 lb); range, 2.9 to 4.2 kg (6 lb, 7 oz to 9 lb, 5 oz), 20 in (51 cm); range, 19 to 21 in (48 to 53 cm), 14 in (35 cm); range, 13 to 15 in (33 to 37 cm), Opacity or clouding of the lens, often due to a genetic or systemic disorder, Inflammation of the retina and choroid, may be due to cytomegalovirus or toxoplasmosis, Congenital disorder caused by abnormal blood vessels behind the retina, leads to progressive deterioration of vision, Failure of the hyaloid vascular system and the embryonic vitreous to completely involute, Most common intraocular tumor in children, Abnormal blood vessel development, occurs primarily in premature infants, Blood clot in the vitreous body, often due to trauma or hemorrhagic disease, First 24 to 36 hours, conjunctival injection and erythema, Days 2 to 7, bilateral purulent conjunctivitis, Days 5 to 14, varies from mild hyperemia to diffuse swelling and chemosis, Days 6 to 14, keratoconjunctivitis is often present, Remnants of salivary gland tissue on the lateral aspect of the gum, resolve spontaneously, White cystic vesicles (1 to 3 mm) on the median palatal raphe of the mouth, oral counterpart to milia, resolve spontaneously, Often occur on the lower gum, should be removed if loose because of aspiration risk, Mucus retention cysts on the floor of mouth, often require surgical removal, Poor cardiac output (e.g., aortic stenosis), High cardiac output (e.g., patent ductus arteriosus), Often cyanotic heart disease (e.g., truncus arteriosus, hypoplastic left heart), 24 hours of life or later (or shortly before discharge, if earlier), 95% in right hand or foot, with 3% or less absolute difference in oxygen saturation between the right hand and foot, 90% to 94% in right hand or foot, or 3% or less absolute difference in oxygen saturation between the right hand and foot, If repeat results are in this range, repeat screening again in one hour; three readings in this range warrant echocardiography, 24 hours of life or later (or shortly before discharge, if earlier) or on repeat screening. A nurse in an antepartum clinic is collecting data from a client who is at 12 weeks of gestation. o A nurse is providing discharge teaching to a client who has Parkinson's disease and a prescription for levodopa-carbidopa. the nurse should notify the provider of which of the following findings? rapid eye movement sleep Which of the following findings should the nurse expect during data collection? Which of the following actions should the nurse perform?

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