With regard to the newborn's developing cardiovascular system, nurses should be aware that:
a. The heart rate of a crying infant may rise to 120 beats/min.
b. Heart murmurs heard after the first few hours are cause for concern.
c. The point of maximal impulse (PMI) often is visible on the chest wall.
d. Persistent bradycardia may indicate respiratory distress syndrome (RDS).
C
Feedback
A The normal heart rate for infants who are not sleeping is 120 to 160 beats/min. However, a crying infant temporarily could have a heart rate of 180 beats/min.
B Heart murmurs during the first few days of life have no pathologic significance; an irregular heart rate past the first few hours should be evaluated further.
C The newborn's thin chest wall often allows the PMI to be seen.
D Persistent tachycardia may indicate RDS; bradycardia may be a sign of congenital heart blockage.
You might also like to view...
A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?
a. Bending forward from the hips b. Sitting upright with arms outstretched c. Walking across the room and back d. Walking with both eyes closed
The nurse is acting in the planning function as a manager. Which of the following stages should be completed first?
a. Set the plan b. Assess the situation and future trends c. Convert plan into action statement d. Set the goals
The nurse is admitting a young adult male and asks him where he works. The patient appears embarrassed and says, "You're going to think I'm lazy, but I stay home with our young children while my wife works."
The nurse recognizes this patient is experiencing what type of conflict? a. Gender b. Gender role c. Gender identity d. Sexual orientation
A contraindication to breastfeeding is:
a. Inverted nipples b. Mother positive for HTLV 1 and 2 c. Infant respiratory infection d. Mother over 40 years of age