Author Question: The perinatal nurse wants to contact the pediatrician about a heart murmur that was auscultated ... (Read 18 times)

geoffrey · **on:** Jun 28, 2018

The perinatal nurse wants to contact the pediatrician about a heart murmur that was auscultated during a newborn assessment. During what time frame would hearing the murmur lead the nurse to contact the health-care provider?

A.
8 to 12 hours
B.
12 to 24 hours
C.
24 to 48 hours
D.
48 to 72 hours

Question 2

The perinatal nurse teaches the new mother and her family about appropriate infant care to prevent omphalitis. Information given would include which of the following instructions?

A.
Apply a mild soap and lotion to dry skin.
B.
Change diapers frequently following circumcision.
C.
Keep the base of the umbilical cord clean and dry.
D.
Take rectal temperatures twice a day for a week.

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

Answer to Question 1

ANS: D
It is not uncommon to hear murmurs in infants less than 24 hours old. Hearing a murmur after 48 hours indicates a need for further investigation, and the health-care provider needs to be notified.

Answer to Question 2

ANS: C
Omphalitis is infection of the umbilical cord stump. The area around the base of the cord should be kept clean and dry. Cleaning the stump varies according to agency protocol. The other instructions are not related to omphalitis.