Author Question: With regard to the newborn's developing cardiovascular system, nurses should be aware that a. The ... (Read 55 times)

jenna1 · **on:** Jun 27, 2018

With regard to the newborn's developing cardiovascular system, nurses should be aware that

a. The heart rate of a crying infant may rise to 120 beats/min.
b. Heart murmurs heard after the first few hours are cause for concern.
c. The point of maximal impulse (PMI) often is visible on the chest wall.
d. Persistent bradycardia may indicate respiratory distress syndrome (RDS).

Question 2

During her annual gynecologic checkup, a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse should document this complaint as

a. Amenorrhea
b. Dysmenorrhea
c. Dyspareunia
d. PMS

JYan · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
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A The normal heart rate for infants who are not sleeping is 120 to 160 beats/min.
However, a crying infant temporarily could have a heart rate of 180 beats/min.
B Heart murmurs during the first few days of life have no pathologic significance;
an irregular heart rate past the first few hours should be evaluated further.
C The newborn's thin chest wall often allows the PMI to be seen.
D Persistent tachycardia may indicate RDS; bradycardia may be a sign of
congenital heart blockage.

Answer to Question 2

B
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A Amenorrhea is the absence of menstrual flow.
B Dysmenorrhea is pain during or shortly before menstruation. Pain is described as
sharp and cramping or sometimes as a dull ache. It may radiate to the lower back
or upper thighs.
C Dyspareunia is pain during intercourse.
D PMS is a cluster of physical, psychologic, and behavioral symptoms that begin in
the luteal phase of the menstrual cycle and resolve within a couple of days of the
onset of menses.