Author Question: A nurse is caring for a newborn with congenital heart disease (CHD). Which finding would the nurse ... (Read 34 times)

leo leo · **on:** Jun 28, 2018

A nurse is caring for a newborn with congenital heart disease (CHD). Which finding would the nurse interpret as indicating distress?

A) Reduced respiratory rate during feeding
B) Subcostal retraction at the time of feeding
C) Perspiration on body after feeding
D) Feeding lasting for 1520 minutes

Question 2

During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, We're just so tired and emotionally spent. All these tests and examinations are overwhelming.

We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle. Which nursing diagnosis would the nurse identify as most appropriate?

A) Risk for delayed growth and development related to necessary treatments
B) Deficient knowledge related to the care of a child with congenital heart disease
C) Interrupted family processes related to demands of caring for the ill child
D) Fear related to infant's cardiac condition and need for ongoing care

morrie123456 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: B
Subcostal retraction during feeding is indicative of distress associated with feeding in newborn infants with CHD. Feeding can be a stress to newborns with CHD who are seriously compromised. Additional features indicating distress in infants with CHD include increased respiratory rate, perspiration along the hairline during feeding and feeding time longer than 30 minutes.

Answer to Question 2

Ans: C
The statements by the parents indicate that there is disruption in the family resulting from the demands of caring for the ill infant and they verbalized concern about their older child. The child may be at risk for delayed growth and development, but this is not indicated by the parents' statements. The parents may lack knowledge about their infant's condition and they may be experiencing fear about the infant's condition, but the statements reflect issues related to the family functioning.