A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

Profound cyanosis

Periorbital edema

Absent femoral pulses

Decreased blood pressure to lower extremities

Answer and Explanation

The Correct Answer is A

A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.

B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.

C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.

D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.

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Correct Answer is B

Explanation

A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.

B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.

C. Full head control is generally achieved by around 4 months of age, not 1 month.

D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.

A. "We will limit our child's caffeinated beverages" B. "We will limit fluid during the day." C. "We will wake our child at scheduled intervals at night to void." D. "We will need to administer anticholinergics if behavioral strategies are ineffective."

Correct Answer is B

Explanation

A. Limiting caffeinated beverages is a good strategy as caffeine can increase urine production and contribute to enuresis.

B. Limiting fluid intake during the day is not recommended as it can lead to dehydration. Instead, fluids should be limited in the evening before bedtime.

C. Waking the child at scheduled intervals to void is a common behavioral strategy to help manage enuresis.

D. Anticholinergic medications may be prescribed if behavioral strategies are ineffective, indicating that the parents have received proper education on this potential intervention.

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A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

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Naxlex Comprehensive Predictor Exams

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