Provide three specific and contrasting examples of the increasing levels of heterogeneity experienced in contemporary distributed systems.  

Find the local maxima, minima and saddle points of the following function:

The fetal monitor tracing of a patient who is 8 cm dilated shows recurring late decelerations to 100 bpm. The physician performs an amniotomy and the nurse notes that the fluid is greenish in color. Which of the following nursing diagnoses is appropriate at this time?

How does Satan initially feel about his mission in Eden?

Who is Hamlet referring to in this line from the play Hamlet? “Frailty, thy name is woman!”

Who declares this in Paradise Lost? “Better to reign in Hell than serve in Heaven.”

During the demons’ council, what course of action does Moloch propose the devils take?

A woman, G2 P1, is receiving oxytocin via IV pump at 3milliunits/min. Her current contraction pattern is every 3 minutes lasting 45 seconds with moderate intensity. The fetal heart rate is 150-160 bpm with moderate variability. Which of the following interventions is appropriate at this time?

A nursing instructor is discussing heart failure with preserved ejection fraction (HFpEF – diastolic) and heart failure with reduced ejection fraction (HFrEF – systolic) with a group of nursing students. One student asks about the differences in recommended pharmacological treatment between the two types of heart failure. What would be the most accurate response by the instructor?

A patient with infective endocarditis reports sudden shortness of breath and pleuritic chest pain. Upon assessment, the nurse notes an oxygen saturation of 88% on room air and diminished breath sounds in the lower right lung. Which complication should the nurse suspect?