A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Weak pulses

Chronic hypoxemia

Systolic murmur

Cyanosis with crying

Answer and Explanation

The Correct Answer is C

Rationale:

A. Weak pulses are not typically associated with a large patent ductus arteriosus. Instead, bounding pulses may be observed due to increased blood flow to the lower extremities.

B. Chronic hypoxemia may occur in some cases of patent ductus arteriosus, but it is not a specific manifestation typically associated with this condition.

C. Systolic murmur is a common finding in newborns with a large patent ductus arteriosus. This murmur is often continuous with the second heart sound and may be heard best at the left upper sternal border.

D. Cyanosis with crying is not typically associated with patent ductus arteriosus. Cyanosis may occur in other cardiac defects but is not a specific finding for patent ductus arteriosus.

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Correct Answer is ["D","E"]

Explanation

A. Abundant lanugo is incorrect because postmature newborns typically lose their lanugo before birth.

B. Vernix in the folds and creases is incorrect as vernix caseosa, the white, cheese-like substance covering the skin of the fetus, is often absent in postmature newborns due to it being absorbed as the gestation period extends beyond the normal term.

C. Short, soft fingernails are not expected in postmature newborns; instead, they may have long, overgrown nails.

D. Cracked, peeling skin is a common finding in postmature newborns due to prolonged exposure to amniotic fluid and a decrease in the protective vernix caseos

E. A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.

A. "Give your parents a chance; they'll understand." B. "You seem scared to talk to your parents." C. "Your parents will have to be told why you are being admitted." D. "If you want me to, I can tell your parents for you."

Correct Answer is B

Explanation

Rationale:

A. This response doesn't address the client's feelings of fear and reluctance to talk to their parents.

B. This response acknowledges the client's emotions and opens up the conversation for further exploration.

C. While this statement is true, it doesn't address the client's emotional state or concerns.

D. This option dismisses the client's feelings and doesn't offer support or guidance.

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A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["D","E"]

Explanation

Correct Answer is B

Explanation

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