Author Question: When the nurse is listening to the chest of an infant who has a murmur associated with a patent ... (Read 30 times)

luvbio · **on:** Jun 27, 2018

When the nurse is listening to the chest of an infant who has a murmur associated with a patent ductus arteriosus (PDA), the murmur will best be heard in which of the following locations?

a. at the apex of the heart c. at the fifth intercostal space
b. just below the left clavicle d. over the mitral valve

Question 2

The nurse is assessing a small infant and notices that when the child's head is moved to the right or left, the eyes follow and do not lag behind as they normally do in a small infant. The nurse would document this finding as:

a. bilateral lag syndrome c. absence of horizontal vibratory motion
b. absence of doll's eye reflex d. follow-through visual abnormality

cassie_ragen · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Incorrect. The murmur associated with a patent ductus arteriosus (PDA) will not best be heard at the apex of the heart.
B Correct. The murmur associated with a patent ductus arteriosus (PDA) will best be heard just below the left clavicle.
C Incorrect. The murmur associated with a patent ductus arteriosus (PDA) will not best be heard at the fifth intercostal space.
D Incorrect. The murmur associated with a patent ductus arteriosus (PDA) will not best be heard over the mitral valve.

Answer to Question 2

B

Feedback
A Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as bilateral lag syndrome.
B Correct. When the eyes of an infant tracks with the movement of the head, it is best described as absence of doll's eye reflex.
C Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as absence of horizontal vibratory motion.
D Incorrect. When the eyes of an infant tracks with the movement of the head, it is not described as follow-through visual abnormality.