The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?

a. Pulmonary stenosis
b. Patent ductus arteriosus
c. Ventricular septal defect
d. Coarctation of the aorta


B
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A A systolic ejection murmur that may be accompanied by a palpable thrill is a
manifestation of pulmonary stenosis.
B The classic murmur associated with patent ductus arteriosus is a machinery-like
one that can be heard throughout both systole and diastole.
C The characteristic murmur associated with ventricular septal defect is a loud,
harsh, holosystolic murmur.
D A systolic murmur that is accompanied by an ejection click may be heard on
auscultation when coarctation of the aorta is present.

Nursing

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