The nurse is caring for a newborn with suspected congenital diaphragmatic hernia. What of the following findings would the nurse expect to observe? (Select all that apply.)
a. Loud, harsh murmur
b. Scaphoid abdomen
c. Poor peripheral pulses
d. Mediastinal shift
e. Inguinal swelling
f. Moderate respiratory distress
ANS: B, D, F
Clinical manifestations of a congenital diaphragmatic hernia include a scaphoid abdomen, a mediastinal shift, and moderate to severe respiratory distress. The infant would not have a harsh, loud murmur or poor peripheral pulses. Inguinal swelling is indicative of an inguinal hernia.
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