A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?
Weak pulses
Chronic hypoxemia
Systolic murmur
Cyanosis with crying
The Correct Answer is C
Rationale:
A. Weak pulses are not typically associated with a large patent ductus arteriosus. Instead, bounding pulses may be observed due to increased blood flow to the lower extremities.
B. Chronic hypoxemia may occur in some cases of patent ductus arteriosus, but it is not a specific manifestation typically associated with this condition.
C. Systolic murmur is a common finding in newborns with a large patent ductus arteriosus. This murmur is often continuous with the second heart sound and may be heard best at the left upper sternal border.
D. Cyanosis with crying is not typically associated with patent ductus arteriosus. Cyanosis may occur in other cardiac defects but is not a specific finding for patent ductus arteriosus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "If suspicion of abuse exists then reporting is mandatory."
Rationale:
A. "If suspicion of abuse exists then reporting is mandatory.": Reporting suspected child abuse is mandatory for healthcare workers when there is a reasonable suspicion or belief that a child is being abused or neglected. This is to ensure the safety and well-being of the child.
B. "If the potential abuser commits to stopping the abuse, health care workers are not required to report it.": Regardless of the abuser's commitment to stop, healthcare workers are still required to report suspected abuse.
C. "Evidence must exist prior to reporting.": While evidence can strengthen a case, suspicion alone is sufficient to trigger the mandatory reporting of child abuse.
D. "I don't want to defame someone if the report is false.": Reporting suspected abuse is a legal obligation, and defaming someone is not the purpose of reporting. Authorities are responsible for investigating the validity of the report.
Correct Answer is B
Explanation
Rationale:
A. Smiles when a parent appears: This is a social and emotional developmental milestone typically achieved by an 8-month-old infant and is not indicative of cerebral palsy.
B. Sits with pillow props: Difficulty sitting without support or requiring props to maintain a sitting position can be a manifestation of cerebral palsy, reflecting motor delays and impaired muscle control.
C. Tracks an object with eyes: Tracking objects with eyes is a visual developmental milestone and does not directly relate to cerebral palsy.
D. Uses a pincer grasp to pick up a toy: The pincer grasp typically develops around 9 to 12 months of age and is not directly related to cerebral palsy.
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