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

Explanation

A. This choice is partially correct because it addresses the parent's concern by offering to

involve the supervisor. However, it does not provide the parent with the specific reason why the incident was reported.
B. This response defers the explanation to another time and person, which may increase the parent's frustration or anxiety.
C. This choice explains the action taken but does not clarify the nurse's legal obligation to report the incident, which is the central issue.
D. This is the most appropriate response as it clearly communicates the nurse's legal responsibility to report any suspected cases of child abuse, providing transparency and understanding of the actions taken.

A. "Your baby should sleep at least 6 hours between feedings." B. "Your baby should burp after each feeding." C. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding." D. "Your baby should wet 6 to 8 diapers per day."

Correct Answer is D

Explanation

Rationale:

A. "Your baby should sleep at least 6 hours between feedings.": Newborns typically wake every 2-3 hours for feeding, so sleeping for 6 hours between feedings is not indicative of adequate breastfeeding.

B. "Your baby should burp after each feeding.": Burping is important for gas relief but does not necessarily indicate sufficient breastfeeding.

C. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.": The wake cycle after feeding is not a reliable indicator of sufficient breastfeeding.

D. "Your baby should wet 6 to 8 diapers per day.": Monitoring the number of wet diapers is a

reliable indicator of adequate breastfeeding. A newborn who is getting enough breast milk should produce at least 6 to 8 wet diapers per day, indicating sufficient hydration and nutrient intake.

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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

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Explanation

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Correct Answer is D

Explanation

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