a postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. the nurse provides which most appropriate instructions to the mother?

Answers

Answer 1

Continue to breast feed every 2 to 4 hours. Jaundice in infants is common. It is usually not severe and resolves itself within a few weeks. If left untreated, severe jaundice might cause brain damage.

However, it is critical that your baby's healthcare practitioner check for jaundice. Compared to babies fed formula, breastfed babies are more likely to develop jaundice. During the first week of your baby's life, breastfeeding can lead to jaundice. When your infant doesn't receive enough breast milk, it occurs. It might happen if you're having trouble nursing or if your milk hasn't yet gotten in. Jaundice caused by breastfeeding may take longer to clear up.

        Breastfeeding jaundice is distinct from breast milk jaundice. Your baby's liver's ability to break down bilirubin can be impacted by substances in your breast milk. Bilirubin can build up as a result of this. After your baby's first week of life, breast milk jaundice may develop and last for a month or longer before clearing up. If your kid has a medication issue that is unrelated to jaundice, other types of jaundice may appear.

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Related Questions

why is it possible for an egg to be fertilized in the pelvic cavity of a female insteadof her reproductive tract

Answers

Answer:

Because the surroundingenvironment of pelvic cavity is suitable for the egg to be fertilized. Also the sperms are excreated there not in reproductive tract.

Explanation:

A victim is pulled from a swimming pool, unresponsive. You have checked the scene and checked the victim for responsiveness. You have activated 911. For which of the following reasons would you give 1 rescue breath every 5 seconds instead of chest compressions?
a. You check the pulse and there is none.
b. The victim is not breathing but has a pulse.
c. The victim is not breathing.
d. The victim moves and gags.

Answers

Answer: The correct option is B (The victim is not breathing but has a pulse).

Explanation:

FIRST AID can be defined as the immediate and correct help rendered to a victim of accident or sudden illness which involves using the materials available and application of correct techniques before he/she is taken to hospital. The type of first aid to be given to a patient will depend on the present emergency situation.

Rescue breathing is a type of first aid rendered to victims of:

--> Near drowning

--> Overdose or poisoning

--> Choking

--> Carbon monoxide poisoning

-->Severe asthma attack

Rescue breathing is carried out if the person is not breathing but has a pulse, give 1 rescue breath every 5 to 6 seconds or about 10 to 12 breaths per minute.

Rescue breathing in cardiopulmonary resuscitation (CPR) may be accompanied with chest compressions IF there is no pulse or heart beat. But if the victim is not breathing but has a pulse, only 1 rescue breath every 5 seconds without chest compressions is given.

15. Prolapse of the ankle is called
A. carposclerosis.
B. tarsoptosis.
C. tarsosclerosis.
O D. carpoptosis.

Answers

Answer:

B. tarsoptosis

Explanation:

A Prolapse of the ankle is called tarsoptosis. Thus, the correct option for this question is B.

What is meant by Prolapse?

Prolapse may be defined as a type of medical condition that significantly involves the expulsion of a part or organ of the body from its normal position that determines the position downwards or outwards.

According to the context of this question, a prolapse of a specific region has known by different terms in the field of medicine. So, here the process of a prolapse of the ankle is understood by the name known as tarsoptosis. This is considered an effective condition in medicine. It is too severe in every aspect as well.

Therefore, A Prolapse of the ankle is called tarsoptosis. Thus, the correct option for this question is B.

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In a neuron with a resting membrane potential of -85 mV, which ion LEAST contributes to the generation of the value of resting potential?
Choose one answer:
a. Potassium
b. Calcium
c. Chloride
d. Sodium
e. This cannot be stated

Answers

Answer:

e. This cannot be stated.

Explanation:

Potassium , Calcium , Chloride  and Sodium are the ions that contributes to the generation of the value of resting potential. There is no example of such an ion which causes the least contributes to the generation of the value of resting potential so that's why we choose option E. The resting membrane potential (RMP) occurs due to changes in the permeability of membrane for potassium, sodium, calcium, and chloride, which leads to the movement of these ions across it.

pour 73ml of water followed by 25ml of juice A into a 100ml graduated cylinder what's the final volume in percent strength?

Answers

Answer: juice a = 30% juice b = 70% (can u mark me (brainliest?)

which law or practice guideline did the occupational safety and health administration (osha) and the oncology nursing society (ons) establish?

Answers

The law or practice guideline which the OSHA and the ONS must establish are Personal protective equipment (PPE) should be used when handling chemotherapy drugs, which means option C is correct.

OSHA refers to the laws pertaining to the safety of the worker at the workplace under which their health, ease of work, and other safety measures are taken. Proper lighting, availability of equipment and machinery etc. are important at workplace. Apart from this proper gloves and hats must be used by the workers at the site. The organization of ONS is aimed at providing financial help and medical assistance to the workers suffering from any kind of cancer. There are almost 35000 registered nurses under ONS.

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Refer to complete question at:

Which law or practice guideline did the Occupational Safety and Health Administration (OSHA) and the Oncology Nursing Society (ONS) establish?

Patients have the right to be free of restraint in hospitals and nursing homes.Staff should stay at least 3 ft away from a patient with a droplet-borne infection.Personal protective equipment (PPE) should be used when handling chemotherapy drugs.Patients seen in an emergency department must have emergency medical screening examinations.

How did john watson have different view from sigmund freud ​

Answers

Explanation:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism.

Freud incorporated the concept of the unconscious to explain transference. Watson understood and was intrigued by Freud's definition of sexual transference, but he was searching for an explanation of transference that did not involve the unconscious (Watson & Morgan, 1917)

Answer:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism. After failing to explain psychoanalysis in terms of William James's concept of habit, Watson borrowed concepts from classical conditioning to explain Freud's discoveries. Watson's famous experiment with Little Albert is interpreted not only in the context of Pavlovian conditioning but also as a psychoanalytically inspired attempt to capture simplified analogues of adult phobic behavior, including the "transference" of emotion in an infant. Watson used his behavioristic concept of conditioned emotional responses to compete with Freud's concepts of displacement and the unconscious transference of emotion. Behind a mask of anti-Freudian bias, Watson surprisingly emerges as a psychologist who popularized Freud and pioneered the scientific appraisal of his ideas in the laboratory.

Explanation:

set as brainliest

Why is it important for an athletic trainer to check the athletic training student’s work periodically?

Answers

Answer:

To make sure they Ain't slaking off

Explanation:

Answer:

to make sure that the student isnt pushing herself to hard and to make sure that they do the excercise correctly so that they gain from it

Explanation:

1. There are 3 zones of "Space and Awareness". Please select the three zones:

Answers

Answer:
Middle zone , outer zone & inner zone.

The three zones of space and awareness are given below:

The outer zone.The middle zone.The inner zone.

What do you mean by Awareness?

Awareness may be defined as a quality of understanding the exact situation of some problematic conditions and knowing their own responsibilities.

The three zones of awareness are proposed from the Gestalt therapy traditions. The outer zone involves the sense of perception through the external environment.

The middle zone governs your thoughts and mental processes. While the inner zone comprises physical sensations and emotions within the body.

Therefore, it is well described above.

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patient is prescribed 0.8 micrograms levothyroxine per kilogram q 12 hours. patient weight is 92 kilograms. how much medication should patient be given

Answers

The medicine that the patient should be given is 0.0368 mg in one dose, and the total dose for the day is 0.736 mg.

What is medication?

Medication is a process where the patient is given a calculated amount of medicines to treat the problem. Medication can be for a day or for months and years.

The patient has been prescribed levothyroxine 0.8 mg per 12 hours, which means twice per day.

So it can be calculated as:

0.8 x 92 / 100 = 0.736. The total dose.

Now divide it by 2

0.736 / = 0.368, one dose of the day.

Thus, the patient should be given 0.0368 mg in one dose, and the total dose for the day is 0.736 mg.

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Answer:147.2

Explanation:

What are the substances on the left hand side of the equation called? *

Answers

The substances on the left hand side of the equation are called as :

L.H.S - LEFT HAND SIDE

Answer:

reaction

Explanation:

if this is chemistry though

The amount of money that must be paid by the patient for medical services before the policy begins to pay is the:
PPO
tax
collateral
deductible

The amount of money that must be paid by the patient for medical services before the policy begins to

Answers

Answer: deductible

Explanation:

Answer: Calendar Year Deductible. The amount that the insured person must pay before insurance payment for covered service begins.

Explanation:

Violating a resident right is breaking the law and may result in punishment that can include what?

Answers

That can include fines, imprisonment, or the revocation of a health care provider's license. Additionally, the facility or organization may face legal action, including lawsuits and loss of funding or accreditation.

Please let me know if i’m wrong, thank you!

how did Joseph Lister used the scientific method to determine the effects of germs and cleanliness.

Answers

Answer:

Explanation:

This began to change in 1867, when Joseph Lister discovered that carbolic spray was very effective in stopping wounds from getting gangrene. ... He developed antiseptic surgery by spraying medical instruments, catgut and bandages with a 1-in-20 solution of carbolic acid.

determine if this conjecture is true. if not, give a counterexample. the difference of two negative numbers is a positive number. luoa

Answers

The conjecture "the difference of two negative numbers is a positive number" is true. This can be proven using the following example:

Let a and b be any two negative numbers. Thus, a < 0 and b < 0. Therefore, a - b < 0 - 0. Simplifying the equation gives a - b < 0 which means that the difference of two negative numbers is negative, not positive

.However, if a = -2 and b = -5, then a - b = -2 - (-5) = -2 + 5 = 3, which is a positive number. Therefore, this particular example serves as a counterexample to the conjecture for the values a = -2 and b = -5.

About Negative

Negative is a trait or state that shows disapproval, dislike, or rejection of something. Negative can also mean something opposite to positive, as in math or physics. Negative can have a bad impact on yourself and others if not balanced with a positive attitude.

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Elaborar un resumen de lo que acostumbramoas a comer en las fiestas familiares y celebraiones comunitarias del país

Answers

Answer:

Navidad Francia - pudín blanco y negro, que es una salchicha que contiene sangre

Canadá francés: postres como rosquillas y pastel de azúcar

Alemania - galletas de jengibre y bombones de licor

Nicaragua: pollo con relleno elaborado con una variedad de frutas y verduras que incluyen tomate, cebolla y papaya.

Rusia: una fiesta de 12 platos diferentes, que representan a los discípulos de Cristo.

Año nuevo

Los alimentos tradicionales de Año Nuevo en todo el mundo incluyen:

Grecia: una empanada dulce especial horneada con una moneda dentro

Japón: hasta 20 platos cocinados y preparados una semana antes. Cada comida representa un deseo de Año Nuevo; por ejemplo, las algas marinas piden felicidad en el próximo año

Escocia: haggis (estómago de oveja relleno de avena y despojos), galletas de jengibre y bollos

España - 12 uvas, destinadas a ser puestas en la boca una a la vez en cada campanada del reloj a la medianoche.

Explanation:

The health care provider for whom you work has recently decided to employ social media to reach current and future patients. You have been asked to identify which of the various forms of social media currently available would be useful in achieving this result. Describe which form(s) of social media would best address the goals of education, patient training, and patient support.

Answers

The form(s) of social media would best address the goals of education, patient training, and patient support are F.a.c.e.-book and IG.

F.a.c.e.-book is a web social media and social networking service closely-held by yankee company Me.ta Platforms. F.a.c.e.-book may be accessed from devices with net property, like personal computers, tablets and smartphones. Once registering, users will produce a profile revealing info concerning themselves.

IG is a picture and video sharing social networking service closely-held by yank company Meta Platforms. The app permits users to transfer media which will be emended with filters and arranged by hashtags and geographical tagging. Posts is shared in public or with preapproved followers.

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which adaptive adl equipment would be most beneficial for a client who has poor (2/5) hand strength?

Answers

Several adaptive equipment support daily activities for those with weak hand strength. They are A button hook is a piece of equipment with a hook attached to the handle.

What is the purpose of adaptable equipment?

Any instrument or technology that helps ease caregiving or make the environment safer for a person who is ill, disabled, or elderly is considered assistive and adaptive equipment. For those with mobility, visual, or hearing impairment, medical and assistive gadgets make it simpler for them to get around the house and complete everyday duties.

What kind of adaptive technology is available?

Mobility aids, such as wheelchairs, scooters, walkers, canes, crutches1, prosthetic devices, and orthotic devices, are a few examples of assistive technologies. hearing aids to improve hearing.

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Given a 20% w/v solution of chlorhexidine gluconate, what volume is required to make 400 mL of a 2% w/v solution?

Answers

Answer:

Explanation:

A 2% w/v solution contains 2 g in 100 mL, or 8 g in 400 mL.

Choose all of the shapes that are used to create the net of a cylinder.

triangle
wedge
rectangle
circle

Answers

the shapes that are used to create the net of a cylinder are rectangle and circle

Value: 1
When caring for a resident, it is best to avoid the use of restraints whenever possible. If a restraint is ordered and
must be used, which practice is not recommended?
O a. Observe the resident frequently.
O b. Maintain a calm environment.
O c. Approach care with a gentleness, kindness and respect.
O d. Determine effectiveness by testing out a different restraint on the resident.

Answers

The weird option that sounds is the statement number 4. Option 4 is the correct answer.

What is the best thing that is done in this situation ?

In this situation the best things that is done to keep calm and handle the situation peacefully.

Observe the resident again and again to check the response that is given by the body so that a problem has not occured in the fractions of the time. Maintaining a calm and peaceful environment is very important as the haste makes up the waste.

Approach care with a gentleness, kindness and respect to avoid any kind of panic situations that can happen.  Determine effectiveness by testing out a different restraint on the resident sounds wrong because it is not wise to directly experiment without having much of the ideas.

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what do alligation alternate mean

Answers

used to find the amount of each ingredient needed to make a mixture of a given quantity

aβ peptides can negatively regulate various steps of acetylcholine (ach) synthesis, release, and signaling. which of the following would be the best target for pharmacological intervention?

Answers

The best target for pharmacological intervention to counteract the negative regulation of acetylcholine (ACh) synthesis, release, and signaling by Aβ peptides would be enzymes involved in ACh synthesis.

Acetylcholine is a neurotransmitter that plays a crucial role in various cognitive functions, including memory and learning. Aβ peptides, which are associated with Alzheimer's disease, have been shown to disrupt ACh-related processes. To counteract this negative regulation, targeting enzymes involved in ACh synthesis can be an effective pharmacological strategy.

One such enzyme is choline acetyltransferase (ChAT), which catalyzes the synthesis of ACh by transferring an acetyl group from acetyl-CoA to choline. By enhancing the activity or expression of ChAT, pharmacological intervention can increase ACh synthesis, leading to improved ACh availability for release and signaling.

Targeting ACh synthesis enzymes provides a direct approach to address the negative regulation caused by Aβ peptides. By increasing ACh levels, it may be possible to mitigate the detrimental effects of Aβ peptides on ACh-related processes and potentially improve cognitive function in conditions such as Alzheimer's disease.

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name five exercise activities you engage in or would like to engage in list a modified version of that activity

Answers

Crunches, Squats, Jumping Jacks, Sit Ups, and lastly I stretch.

what is best way to avoid e coli

Answers

Answer:

Thoroughly wash hands, counters, cutting boards, and utensils after they touch raw meat. Avoid raw milk, unpasteurized dairy products, and unpasteurized juices (such as fresh apple cider). Don't swallow water when swimming and when playing in lakes, ponds, streams, swimming pools, and backyard “kiddie” pools.

Explanation:

Don’t eat raw chicken

Whitehead M. The concepts and principles of equity and health. Int J Health Serv. 1992;22(3):429-445.

Answers

The article by Whitehead (1992) explores the concepts and principles of equity and health, highlighting their significance in the field of healthcare and emphasizing the need for equitable distribution of resources and opportunities.

In the article, Whitehead (1992) delves into the concepts and principles of equity and health, emphasizing their importance in achieving optimal health outcomes for all individuals. The author argues that health inequities arise from various social determinants, such as socioeconomic status, education, and access to healthcare. The article highlights the need for policies and interventions that promote equitable distribution of resources and opportunities, aiming to reduce disparities in health outcomes.

Whitehead discusses the key principles of equity in health, including fairness, social justice, and equal access to healthcare services. The author emphasizes the importance of addressing structural and systemic factors that contribute to health inequities and advocates for policies that prioritize the needs of marginalized and disadvantaged populations. Furthermore, the article explores different approaches to measuring and monitoring health equity, emphasizing the need for comprehensive data collection and analysis to inform evidence-based interventions.

Overall, Whitehead's article provides a comprehensive overview of the concepts and principles of equity and health. It highlights the significance of addressing health inequities and calls for action to ensure equitable access to healthcare resources, opportunities, and outcomes for all individuals, regardless of their social or economic circumstances.

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Among the first steps for system transformation is counting those individual consumers who have co-occurring substance use and mental health disorders. T/F

Answers

Be active for at least 30 minutes every day, whether it be through cycling, gardening, yoga, dancing, jogging, or any other form of exercise. Consume a nutritious, balanced diet. Don't forget to get adequate rest.

Try to keep doing the things that make you happy and fulfilled, including making meals for yourself or your loved ones, playing with your pet, going for walks in the park, reading a book, or watching a movie or TV show. You may maintain excellent mental health by following a regular schedule that includes enjoyable exercise activities. Avoid using dangerous substances like kava, alcohol, narcotics, or smoke to deal with your emotions. Despite the fact that they could appear to make you feel better in the short term, they might really make you feel worse.

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populations that are not evolving, that is, their allele and genotype frequencies stay constant from generation to generation, are said to be in hardy-weinberg equilibrium. recall that populations must meet five conditions for hardy-weinberg equilibrium to be maintained. can you fill in the following statements about these five conditions?

Answers

The Hardy-Weinberg equilibrium can only be sustained if certain assumptions are met. The five conditions that must be met are listed below: Random Mating: In a population, individuals must have an equal chance of mating with anyone. As a result, the chance of mating is independent of genotype.

Consequently, the frequency of different genotypes among potential mates is the same. Large population size: In a population, the size must be enormous. This is because, in smaller populations, genetic drift can have a significant impact on genotype frequency. No migration: A substantial flow of alleles from one population to another will alter allele frequencies in both populations, making it hard to maintain the Hardy-Weinberg equilibrium. No mutation: Mutation would be present in the gene pool and changing the frequency of the alleles would result in the Hardy-Weinberg equilibrium not being maintained. No selection: There is no selection, meaning that the probability of survival or reproduction is unaffected by an individual's phenotype. Given these five assumptions, the equilibrium can be established.

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A patient presents with poison ivy on the extremities, face, and buttocks after an initial exposure 48 hours ago. This condition is an example of:

Answers

A patient presents with poison ivy on the extremities, face, and buttocks after an initial exposure 48 hours ago, this condition is an example of: contact dermatitis caused by exposure to the urushiol oil found in poison ivy plants.

This oil can cause a delayed allergic reaction, with symptoms appearing anywhere from 12 hours to several days after exposure. In this case, the patient's symptoms appeared 48 hours after initial exposure and are located on the extremities, face, and buttocks, which are common areas of contact with the plant. Contact dermatitis can cause redness, swelling, itching, and blistering in the affected areas.

Treatment may include topical or oral corticosteroids, antihistamines, and/or calamine lotion to alleviate symptoms and prevent infection. To prevent further exposure and future outbreaks, it is important to educate the patient on identifying and avoiding poison ivy, oak, and sumac plants.

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The staff of a medical unit has agreed to pilot test a new, evidence-based educational initiative that addresses the learning needs of adults who have been recently diagnosed with type 2 diabetes. which result would a pilot test likely to accomplish

Answers

A pilot test of the new, evidence-based educational initiative for adults recently diagnosed with type 2 diabetes is likely to accomplish several results. First and foremost, it will allow the staff of the medical unit to determine whether the educational initiative is effective in addressing the learning needs of this population.

This will help to ensure that patients receive the information and support they need to manage their condition and improve their health outcomes. Additionally, the pilot test may reveal areas where the educational initiative can be improved or refined to better meet the needs of patients. Finally, the pilot test will provide valuable feedback and data that can be used to evaluate the success of the educational initiative and make informed decisions about whether to implement it on a larger scale. Overall, a pilot test is an important step in ensuring that the educational initiative is effective and meets the needs of patients with type 2 diabetes.
The staff of a medical unit has agreed to pilot test a new, evidence-based educational initiative that addresses the learning needs of adults who have been recently diagnosed with type 2 diabetes. A pilot test is likely to accomplish several results:

1. Identify strengths and weaknesses of the educational initiative, allowing for improvements to be made before full implementation.
2. Assess the effectiveness of the program in meeting the learning needs of the target population, ensuring that the content is relevant and understandable.
3. Gather feedback from participants to understand their perspectives and preferences, leading to a more patient-centered approach.
4. Determine the feasibility and logistics of implementing the initiative in the medical unit, including necessary resources and potential barriers.
5. Evaluate the impact of the educational initiative on patient outcomes, such as improved self-management of diabetes and better glycemic control, ultimately contributing to better overall health.

By conducting a pilot test, the medical staff can fine-tune the educational initiative and better address the learning needs of adults with type 2 diabetes, leading to more successful outcomes for patients.

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Which nursing intervention is focused on the primary goal of anxiety management and treatment? The Points in the table lie on a line. Find the slope of the line.The slope is -???Plz I need help The Constitution states that all legislation regarding the passing of treaties or the approval of presidential appointments must _____. A. be introduced by the President B. be drafted by the Department of State C. remain within the Senate D. originate in the House of Representatives Explain the significance of the mongol empire in larger patterns of continuity and change. The symbols , -, and o are to be used to show the results of interactions between individuals and groups of individuals in the examples that follow. The symbol denotes a positive interaction, - denotes a negative interaction, and o denotes where individuals are not affected by interacting. The first symbol refers to the first organism mentioned. What interactions exist between a tick on a dog and the dog Last month Mason sold cars that totaled $37,594 in sales. That brought his yearly sales total to $420,851. What was Mason's yearly sales total before last month? Classify angle X Y Z. please choose 2 correct answers !!!! Will mark Brianliest !!!!!!!! (Last option is Isosceles triangle) !!!!!!!!! The diagram show three different types of walls that could be built in a house. Through which hall would the heat lost be maximum. Which organization publishes a handbook that describes various occupations? U.S. Department of Defense U.S. Department of Agriculture U.S. Bureau of Labor Statistics U.S. Bureau of Economic Analysis Andre has a diagram that shows only one process and external entities. He is developing a:Level 1 diagramLevel 0 diagramContext diagramUse case diagram Explain how European nations were affected by the sugar revolution? the puppy chasing the ball is the ____________ (stimulus/response), and you rubbing his head and saying "good job" is the ____________ (stimulus/response). a) Analyze elaborately the architecture, design limitationsand role of smart devices in loTwith necessary interfacing diagram.b) Design and deploy operational view, resources, services,virtual ent How do the jobs that Mother and Father have in the book differ from our society in the roles they play? The Giver Chapter 5 NEED HELP ASAP IF NOT I WILL FAIL. I WILL MARK YOU AS MOST BRAINIEST When 2-Brothers Plumbing Company comes toyour crib, they charge a flat rate of $55 plus $58per hour.Let x = # of hoursLet y = the total amount of money they charge.Write the equation for this scenario. When Mariois giving you a thumbs up, you have succeeded! which conclusion most logically resolves the plot of the story? Manfred What was "the crime of 1873" and what caused it? For the function below, find the local extrema by using the First Derivative Test.t(x) = 2x ^ 3 + 30x ^ 2 + 144x - 1Select the correct answer below:a.There is a local minimum at x = - 4 b.There is a local maximum at x = - 6 and a local maximum at x = - 4c.There is a local maximum at x = - 4d.There is a local maximum at x = - 6 and a local minimum at x = - 4e.There is a local maximum at x = - 6 Writing a Short Issues Memo-Inventory Valuation You have been asked to draft a brief issues memo ("to the files") analyzing the following issue. Charles Corp. has leased a mine from which it recently extracted 2,000 kilograms of bauxite (a mineral used in producing aluminum). Charles Corp. plans to sell the bauxite to aluminum manufacturers. Charles Corp. is analyzing whether its bauxite inventory can be carried at its selling price per ASC 33010-35-16(b). Assume that quoted market prices are generally available for bauxite, and that the market for bauxite is active. Using the standard memo format, analyze whether all necessary conditions are met for the accounting treatment proposed. If assumptions are needed to fully evaluate the guidance, identify those assumptions in your analysis. For this particular memo, you are not required to present alternative treatments; assume for this issue that you have solely been asked to document whether the conditions in ASC 330-10-35-16(b) are met. Explain why an elevation less than -5 feet represents a distance from sea level greater than 5 feet.