A nurse is caring for an infant suspected of having a congenital heart disease. Which assessment finding is most indicative of this condition?
The infant's skin is pale and cool to the touch.
The infant's respiratory rate is within the normal range.
The infant's fontanelle is closed and firm.
The infant's weight gain follows the growth chart percentile for age.
The Correct Answer is A
A) The answer is A. The pallor and coolness of the skin may indicate poor cardiac output and impaired circulation commonly seen in congenital heart diseases. These signs are suggestive of reduced oxygen delivery to peripheral tissues.
B) Incorrect. The respiratory rate being within the normal range does not specifically point to a congenital heart disease. Other signs and symptoms should be assessed to confirm the diagnosis.
C) Incorrect. The closure and firmness of the fontanelle are related to the status of the infant's skull bones and do not directly indicate congenital heart disease.
D) Incorrect. Weight gain following the growth chart percentile for age is not directly associated with congenital heart diseases. There are more specific clinical indicators to consider in the assessment of this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Premedicating with an antipyretic before the dental procedure can help prevent bacterial endocarditis, a severe infection in clients with certain congenital heart diseases.
B) Incorrect. Antibiotic prophylaxis is recommended for some clients with congenital heart diseases to prevent bacterial endocarditis. The client should consult their healthcare provider for appropriate prophylactic measures.
C) Incorrect. The timing of the surgery in the afternoon does not significantly impact recovery. The appropriate timing should be determined by the healthcare provider and the client's medical condition.
D) Incorrect. Aspirin is an anticoagulant, and the client should consult their healthcare provider about the management of aspirin therapy before any surgical procedure.
Correct Answer is B
Explanation
A) This option is incorrect. Alcohol consumption during pregnancy can have significant adverse effects on fetal development, including an increased risk of congenital heart diseases. Even moderate alcohol consumption is not safe during pregnancy.
B) Correct answer. Alcohol consumption during pregnancy is a known risk factor for congenital heart diseases and other birth defects. It is best to avoid alcohol completely during pregnancy to protect the developing baby.
C) This option is incorrect. The impact of alcohol on the baby's heart development is generally negative regardless of the type of alcoholic beverage consumed. All types of alcohol should be avoided during pregnancy.
D) This option is incorrect. Alcohol consumption during pregnancy can have far-reaching effects on fetal development, affecting both the heart and brain, among other organ systems.
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