A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

Profound cyanosis

Periorbital edema

Absent femoral pulses

Decreased blood pressure to lower extremities

Answer and Explanation

The Correct Answer is A

A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.

B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.

C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.

D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.

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Correct Answer is D

Explanation

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

A. Partial thromboplastin time B. Hemoglobin level C. Platelet count D. Hematocrit level

Correct Answer is A

Explanation

A. Hemophilia is a bleeding disorder that affects the clotting process, and the partial thromboplastin time (PTT) is typically prolonged in individuals with hemophilia, indicating a deficiency in clotting factors.

B. Hemoglobin levels may remain normal unless the client experiences significant bleeding episodes.

C. Platelet count is usually normal in hemophilia, as the disorder affects clotting factors rather than platelet production.

D. Hematocrit levels may also remain normal unless there is significant bleeding, which would lower hematocrit due to blood loss.

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A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Correct Answer is D

Explanation

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

Correct Answer is A

Explanation

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