Author Question: A nurse working in the neonatal intensive care unit (NICU) is caring for a preterm infant with a ... (Read 141 times)

penguins · **on:** Jun 25, 2018

A nurse working in the neonatal intensive care unit (NICU) is caring for a preterm infant with a congenital heart defect. When planning this infant's care, which should the nurse take into consideration regarding how this conditions are characterized?

A) By the severity of defect
B) By the pathophysiology and hemodynamics of defect
C) By the location of defect
D) By the infant's age when defect diagnosed

Question 2

A nurse working in the newborn nursery is assessing a term baby for congenital heart defects. Which clinical manifestations would indicate an atrial septal defect (ASD)?

Select all that apply.
A) Pulmonary artery hypotension
B) Midsystolic murmur at lower right sternal border
C) Mitral valve regurgitation with cleft on mitral valve.
D) S1 heart tone may be split due to forceful left ventricular contraction.
E) Congestive heart failure

mfedorka · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Congenital heart defects are categorized by their pathophysiology and hemodynamics. They are not characterized by the severity of the defect, location of the defect, or the infant's age when the defect is diagnosed.

Answer to Question 2

Answer: C, D, E

An atrial septal defect (ASD) occurs when there is an opening in the atrial septum permitting left-to-right shunting of blood. Midsystolic murmur may be auscultated at the lower left sternal border, due to increased blood flow across the tricuspid valve. Mitral valve regurgitation may occur with a cleft on the mitral valve. S1 heart tones may be split due to forceful right ventricular contraction. Finally, pulmonary artery hypertension and congestive heart failure may occur.