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18 y.o. woman complains of pain in the lower abdomen. Some minutes before she has suddenly appeared unconscious at home. The patient had no menses within last 3 months. On examination: pale skin, the pulse- 110 bpm, BP- 80/60 mm Hg. The Schyotkin's sign is positive. Hb- 76 g/L. The vaginal examination: the uterus is a little bit enlarged, its displacement is painful. There is also any lateral swelling of indistinct size. The posterior fornix of the vagina is tendern and overhangs inside. What is the most probable diagnosis?

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19. The perinatal nurse is giving discharge instructions to a woman after suction curettage secondary to a hydatidiform mole. Thewoman asks why she must take oral contraceptives for the next 12 months. The best response from the nurse would be:a. "If you get pregnant within 1 year, the chance of a successful pregnancy is verysmall. Therefore, if you desire a future pregnancy, it would be better for you touse the most reliable method of contraception available."b. "The major risk to you after a molar pregnancy is a type of cancer that can bediagnosed only by measuring the same hormone that your body produces duringpregnancy. If you were to get pregnant, it would make the diagnosis of this cancermore difficult."c. "If you can avoid a pregnancy for the next year, the chance of developing asecond molar pregnancy is rare. Therefore, to improve your chance of asuccessful pregnancy, it is better not to get pregnant at this time."d. "Oral contraceptives are the only form of birth control that will prevent arecurrence of a molar pregnancy."

A new mother asks the nurse when the "soft spot" on her son's head will go away. The nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months.a. 2b. 8c. 12d. 18

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