A new parent asks the nurse why the 36-hour-old newborn has a yellow skin tint. What should the nurse explain to the parent?
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HESI RN · Nursing Care of the Newborn and Family
Question 2 of 90
A mother and her 2 day old baby are preparing for discharge. Which of the following situations would require the baby’s discharge to be cancelled.?
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HESI RN · Nursing Care of the Newborn and Family
Question 3 of 90
Which type of formula should not be diluted before being administered to an infant?
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Question 4 of 90
A newborn at 20 minutes of age has an axillary temperature of 36° C (96.8° F). What intervention should the nurse perform?
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HESI RN · Nursing Care of the Newborn and Family
Question 5 of 90
The nurse knows that during the organizational process, the newborn will be rated as exceptionally good if they do what? Select all that apply.
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HESI RN · Nursing Care of the Newborn and Family
Question 6 of 90
A mother is concerned that her infant was very awake and alert immediately after birth for about 45 minutes but has now been asleep for 3 hours. Which statement by the nurse is most appropriate to address the mother's concerns?
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HESI RN · Nursing Care of the Newborn and Family
Question 7 of 90
The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents?
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HESI RN · Nursing Care of the Newborn and Family
Question 8 of 90
You are receiving report from the nightshift nurse. Which newborn should you assess first?
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HESI RN · Nursing Care of the Newborn and Family
Question 9 of 90
A new mother asks whether she should feed her newborn colostrum because it is not 'real milk.' The nurse's best answer includes which information?
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HESI RN · Nursing Care of the Newborn and Family
Question 10 of 90
A nurse assessing an infant notes that the baby is jittery, has muscle twitches, and has jittery movement of the arms and legs. What action by the nurse is most appropriate?
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HESI RN · Nursing Care of the Newborn and Family
Question 11 of 90
Which situation places the infant at greatest risk for developing hypothermia?
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Question 12 of 90
What is the Apgar score for the infant whose findings are heart rate 120 bpm, crying vigorously, actively moving extremities, blue hands and feet, and sneezed upon suctioning with bulb suction?
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HESI RN · Nursing Care of the Newborn and Family
Question 13 of 90
The perinatal nurse teaches the new mother and her family about appropriate infant care to prevent complaints. Information given would include which of the following instructions?
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HESI RN · Nursing Care of the Newborn and Family
Question 14 of 90
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
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HESI RN · Nursing Care of the Newborn and Family
Question 15 of 90
When educating the parents of a newborn about newborn positions, patterns, and cues, what statement by the mother confirms that more teaching is needed?
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Question 16 of 90
What condition is due to poor peripheral circulation?
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Question 17 of 90
What categories are in the Brazelton assessment? Select all that apply.
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HESI RN · Nursing Care of the Newborn and Family
Question 18 of 90
When assessing the newborn for the presence of lanugo, where should the nurse look for it?
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HESI RN · Nursing Care of the Newborn and Family
Question 19 of 90
A nurse takes a newborns initial set of vital signs and records the following: Temperature: 97.9F (36.6C) pulse: 198 beats/minute respirations: 78 breaths/minute blood pressure: 64/44 mm Hg. What does the nurse conclude about this infant?
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HESI RN · Nursing Care of the Newborn and Family
Question 20 of 90
A newborn was born over 3 days ago and has not passed any meconium stools. What should the nurse be most concerned about at this time?
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Question 21 of 90
How would the nurse elicit a rooting reflex in a newborn?
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Question 22 of 90
The nursing student checks the newborn baby's temperature and finds the temperature to be 96°F axillary. What is the next action that should be taken?
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Question 23 of 90
The nurse is teaching a postpartum patient different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for patients who have had a cesarean birth?
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HESI RN · Nursing Care of the Newborn and Family
Question 24 of 90
Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?
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HESI RN · Nursing Care of the Newborn and Family
Question 25 of 90
A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate?
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HESI RN · Nursing Care of the Newborn and Family
Question 26 of 90
The nurse is caring for a neonate born at 36 weeks, 2 days by primary cesarean birth and weighing 6 pounds, 4 ounces. The infant cried at delivery, had flexion in all extremities, had a heart rate of 135, had acrocyanosis in hands and feet, and was pale. The infant was placed skin-to-skin with the birthing person and has been latching and cuddling for the past 15 minutes. At 45 minutes, the neonate is found grunting and cool to the touch. What are the nurse’s next steps?
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HESI RN · Nursing Care of the Newborn and Family
Question 27 of 90
The nurse is providing bereavement care to a family after a stillbirth. What is an example of communication with a patient that demonstrates effective bereavement care?
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HESI RN · Nursing Care of the Newborn and Family
Question 28 of 90
A neonatal nurse is demonstrating the proper technique for assessing a newborns pulse. What technique does the nurse demonstrate?
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HESI RN · Nursing Care of the Newborn and Family
Question 29 of 90
The nurse is assessing the neonates skin and notes the presence of small irregular red patches on the cheeks that turn into single yellow pimples on the babys chest. What treatment and care does the nurse recommend to the parents to help resolve this rash?
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HESI RN · Nursing Care of the Newborn and Family
Question 30 of 90
A nurse reads in the chart that a baby has a positive crossed extension reflex and asks a more experienced nurse to demonstrate this assessment. How does the nurse perform the assessment?
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HESI RN · Nursing Care of the Newborn and Family
Question 31 of 90
The nurse is caring for a patient with a spontaneous abortion at 8 weeks’ gestation. What is the most common cause of first trimester loss?
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HESI RN · Nursing Care of the Newborn and Family
Question 32 of 90
A perinatal clinic nurse is working with a pregnant woman who wishes a home birth. What information about newborn screening for metabolic disorders does the nurse provide?
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Question 33 of 90
A nurse notes that an infant has a drooping tongue which causes difficulty with feeding. What cranial nerve should the nurse assess further?
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HESI RN · Nursing Care of the Newborn and Family
Question 34 of 90
Parents and caregivers are strongly advised by health-care providers NOT to give their newborns aspirin for fever or pain. What is the reason for this advice?
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HESI RN · Nursing Care of the Newborn and Family
Question 35 of 90
During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina. What is the assessment finding that would necessitate follow-up?
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HESI RN · Nursing Care of the Newborn and Family
Question 36 of 90
A full-term newborn has been delivered by a physician after a lengthy labor and delivery. The newborn has poor tone, minimal respiratory effort, and central cyanosis. The cord is cut, and the patient is placed in an infant warmer. What data does the nurse need to notice that are clinically significant? Select all that apply.
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HESI RN · Nursing Care of the Newborn and Family
Question 37 of 90
A nurse observes a student nurse examining a newborn baby boys scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present. What action by the nurse is best?
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HESI RN · Nursing Care of the Newborn and Family
Question 38 of 90
A faculty member is supervising a student who is preparing to administer vitamin K1 phytonadione (Aqual/EPHYTON) to an infant. What action by the student prompts the faculty member to intervene?
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Question 39 of 90
Which is an important consideration regarding the storage of breast milk?
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Question 40 of 90
The perinatal nurse teaches new parents that the best sleeping position for infants is which of the following?
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HESI RN · Nursing Care of the Newborn and Family
Question 41 of 90
A new nurse is preparing to administer erythromycin (Eyemycin) to an infant. What action by the new nurse would lead the precepting nurse to intervene?
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HESI RN · Nursing Care of the Newborn and Family
Question 42 of 90
A 3-month-old has pulled out their NG tube at home, and the mother is now speaking with the on-call nurse. What recommendation should the nurse provide her?
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HESI RN · Nursing Care of the Newborn and Family
Question 43 of 90
The nurse is caring for an infant with FAS. What symptoms would the nurse expect to see when assessing the infant?
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HESI RN · Nursing Care of the Newborn and Family
Question 44 of 90
New parents wish to include their extended family in welcoming their new baby. What suggestion does the nurse offer this couple?
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HESI RN · Nursing Care of the Newborn and Family
Question 45 of 90
What information should not be documented during the admission process to the newborn nursery following the delivery of the newborn?
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HESI RN · Nursing Care of the Newborn and Family
Question 46 of 90
Which statement indicates that learning has occurred in a new mother regarding iron storage in her newborn?
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HESI RN · Nursing Care of the Newborn and Family
Question 47 of 90
Supporting siblings through grief after a neonatal loss is difficult. What suggestions should the nurse give parents?
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HESI RN · Nursing Care of the Newborn and Family
Question 48 of 90
The nurse provides discharge instructions to a parent about umbilical cord care. What statement by the parent indicates effective health teaching?
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HESI RN · Nursing Care of the Newborn and Family
Question 49 of 90
Parents of an infant born 3 hours ago ask the nurse what medicine had to be given to their newborn. What is the most appropriate statement made by the nurse?
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Question 50 of 90
A nurse has been caring for a neonate with the nursing diagnosis of imbalanced body temperature. What assessment finding indicates to the nurse that goals for this diagnosis have been met?
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Question 51 of 90
What two steps of the CJMM are included in the assessment step of the nursing process?
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HESI RN · Nursing Care of the Newborn and Family
Question 52 of 90
A new parent is concerned about a mass on the newborn’s head. The nurse assesses this to be a cephalohematoma based on what characteristics?
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Question 53 of 90
The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, 'We have never done that to any baby boy in my family.' Which statement is best for the nurse to make?
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Question 54 of 90
Of the three fetal shunts, which one moves fetal blood from the lungs through the right atrium to the left atrium?
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Question 55 of 90
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive a poor rating by reacting to what?
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Question 56 of 90
As an effort to reduce cold stress and respiratory depression, which intervention is most important for the nurse to perform?
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Question 57 of 90
When caring for a newborn, the nurse must be alert for signs of cold stress, including:
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Question 58 of 90
How can the nurse explain the complications of preterm birth?
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Question 59 of 90
During discharge teaching, the parents ask the nurse which type of thermometer is the most accurate to take their newborn’s temperature. What is the nurse’s best reply to this question?
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Question 60 of 90
A premature infant with respiratory distress syndrome (RDS) receives artificial surfactant. How does the nurse explain surfactant therapy to the parents?
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Question 61 of 90
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
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HESI RN · Nursing Care of the Newborn and Family
Question 62 of 90
A new patient asks, 'Why are you doing a gestational age assessment on my baby?' The nurse's best response is
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Question 63 of 90
Treatment of neonatal jaundice depends on what factors? Select all that apply.
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Question 64 of 90
How should the nurse explain mild supply and demand when responding to the question, 'Will I produce enough milk for my baby as she grows and needs more milk at each feeding?'
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Question 65 of 90
At 1 minute following birth, the newborn exhibited the following: heart rate of 155; loud, vigorous crying with active movement of all extremities; sneezing when nose is stimulated with a catheter; hands and feet bluish and cool to the touch. The Apgar score of this newborn should be recorded as
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Question 66 of 90
Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?
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HESI RN · Nursing Care of the Newborn and Family
Question 67 of 90
A new mother states, 'My baby is so thin and wrinkled. It looks like he has too much skin.' Which is the most therapeutic response by the nurse in response to the patient's statement?
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Question 68 of 90
The nurse knows that a full-term newborn presents with ears that include what assessment characteristics?
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HESI RN · Nursing Care of the Newborn and Family
Question 69 of 90
Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would
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Question 70 of 90
A new nurse is suctioning a neonate. What action by the new nurse would cause the preceptor to intervene?
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HESI RN · Nursing Care of the Newborn and Family
Question 71 of 90
Prior to giving a newborn the first bath, what action by the nurse is most appropriate?
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HESI RN · Nursing Care of the Newborn and Family
Question 72 of 90
A 24-hour-old newborn male was circumcised 20 minutes ago. The nurse is doing 15-minute checks of the circumcision site. It appears that the newborn has had a bowel movement as meconium is leaking from the diaper leg. He is not crying and has just soothed from the last diaper check. What should the nurse do?
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HESI RN · Nursing Care of the Newborn and Family
Question 73 of 90
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
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Question 74 of 90
The nurse is caring for a neonate born at 36 weeks, 2 days by primary cesarean birth and weighing 6 pounds, 4 ounces. The infant cried at delivery, had flexion in all extremities, had a heart rate of 135, had acrocyanosis in hands and feet, and was pale. The infant was placed skin-to-skin with the birthing person and has been latching and cuddling for the past 15 minutes. At 45 minutes, the neonate is found grunting and cool to the touch. What are the nurse's next steps?
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HESI RN · Nursing Care of the Newborn and Family
Question 75 of 90
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
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HESI RN · Nursing Care of the Newborn and Family
Question 76 of 90
When teaching umbilical cord care to a new parent, the nurse would include which information?
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HESI RN · Nursing Care of the Newborn and Family
Question 77 of 90
A new parent is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalohematoma based on what characteristics?
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HESI RN · Nursing Care of the Newborn and Family
Question 78 of 90
The breastfeeding patient should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
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HESI RN · Nursing Care of the Newborn and Family
Question 79 of 90
Which assessment indicates that the neonate is not transitioning to extrauterine life?
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HESI RN · Nursing Care of the Newborn and Family
Question 80 of 90
After reviewing a patient’s history, what does nurse recognize as a risk factor for IPFD?
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HESI RN · Nursing Care of the Newborn and Family
Question 81 of 90
When thinking about scoring an Apgar assessment, the nurse knows that grimace is an assessment of what in a newborn?
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HESI RN · Nursing Care of the Newborn and Family
Question 82 of 90
The nurse would expect a physician to prescribe which medication to a postpartum client with heavy bleeding and a boggy uterus?
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HESI RN · Nursing Care of the Newborn and Family
Question 83 of 90
Which of the following newborn assessment findings is the most concerning to the newborn nursery nurse?
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HESI RN · Nursing Care of the Newborn and Family
Question 84 of 90
The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern?
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HESI RN · Nursing Care of the Newborn and Family
Question 85 of 90
A newborn at 20 minutes of age has an axillary temperature of 36° C (96.8° F). What intervention should the nurse perform?
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HESI RN · Nursing Care of the Newborn and Family
Question 86 of 90
The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?
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HESI RN · Nursing Care of the Newborn and Family
Question 87 of 90
The nurse is aware that a newborn with a mother who has diabetes is at risk for what complication?
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HESI RN · Nursing Care of the Newborn and Family
Question 88 of 90
Which condition of a newborn should the nurse further investigate?
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HESI RN · Nursing Care of the Newborn and Family
Question 89 of 90
The birthing parent has been watched closely by their health-care team because of their risk factors for delivering prematurely. What items in this patient’s medical history and current diagnosis increase their risk for delivering prematurely? Select all that apply.
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HESI RN · Nursing Care of the Newborn and Family
Question 90 of 90
Which infant is at the greatest risk for SIDS?
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