The nurse is assessing a 36-week gestational age newborn. Upon auscultation, she hears a late systolic murmur in the left intrascapular area with no femoral pulse but increased brachial pulses. What treatment should this infant receive?
1. Indomethacin with surgical ligation.
2. Lanoxin with surgical closure with a Dacron patch.
3. Prostaglandin E1 and surgical resection of the aorta.
4. Palliative surgery to increase blood flow to the lungs followed by corrective surgery.
Correct Answer: 3
Rationale 1: This treatment is used with patent ductus arteriosus. This infant has coarctation of aorta, which should be treated with prostaglandin E1 and surgical resection of the aorta.
Rationale 2: This treatment is used for ventricular septal defect. This infant has coarctation of aorta, which should be treated with prostaglandin E1 and surgical resection of the aorta.
Rationale 3: This is the correct treatment for an infant with coartation of aorta.
Rationale 4: This treatment is used for tetralogy of Fallot. This infant has coarctation of aorta, which should be treated with prostaglandin E1 and surgical resection of the aorta.
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When using the Calgary Family Assessment Model (CFAM), it is important to know that:
1. The developmental assessment yields the most important information to guide nursing actions. 2. Synthesis of the family development assessment, structural assessment, and functional assessment yields the most information to guide nursing actions. 3. The structural assessment yields the most important information to guide nursing actions. 4. The functional assessment yields the most important information to guide nursing actions.