Which comment made by a parent of a 1-month old would alert the nurse about the presence of a congenital heart defect?

"He is always hungry."

"He is fussy for several hours every day."

"He tires out during feedings."

"He sleeps all the time."

Answer and Explanation

The Correct Answer is C

A. "He is always hungry.": This is not typically a sign of a congenital heart defect. Many infants are hungry frequently as they grow, so this would not be an alerting sign.

B. "He is fussy for several hours every day.": Fussiness is common in infants and does not necessarily indicate a congenital heart defect.

C. "He tires out during feedings.": This is a concerning sign. Infants with congenital heart defects often have difficulty feeding due to poor oxygenation and energy reserves. Fatigue during feedings is a common symptom of heart defects.

D. "He sleeps all the time.": Sleeping a lot could be normal for a 1-month-old infant, and it would not necessarily indicate a congenital heart defect unless the infant is lethargic or difficult to rouse.

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Correct Answer is C

Explanation

A. Inhaled Glucocorticoid: Used for managing asthma or other respiratory conditions, not for cardiac function.

B. Beta Adrenergic Blocker: Reduces blood pressure and heart rate but is not the mechanism of Digoxin.

C. Cardiac Glycoside: Digoxin is used to improve myocardial contractility and slow the heart rate, which aligns with this classification.

D. Angiotensin Enzyme Inhibitor: Typically used to manage hypertension and heart failure by affecting the renin-angiotensin system.

A. Both parents are carrier of the CF gene B. The inheritance pattern is multifactorial C. The result is probably a genetic mutation D. Only one parent carries the CF gene

Correct Answer is A

Explanation

A. Both parents are carriers of the CF gene: Cystic fibrosis follows an autosomal recessive inheritance pattern, meaning both parents must carry one copy of the defective gene, even if they do not have the disease themselves. The child inherits one copy of the defective gene from each parent to develop CF.

B. The inheritance pattern is multifactorial: CF is not a multifactorial disease; it follows a clear recessive genetic inheritance pattern.

C. The result is probably a genetic mutation: CF is caused by a genetic mutation, but this mutation is inherited from both parents. It is not usually a spontaneous mutation unless it occurs in the parental genetic material, which is rare.

D. Only one parent carries the CF gene: For the child to inherit CF, both parents must be carriers of the gene. If only one parent carries the gene, the child would be a carrier, not affected by the disease.

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Which comment made by a parent of a 1-month old would alert the nurse about the presence of a congenital heart defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Match the drug Digoxin to the correct classification?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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