The nurse educator is teaching a group of nursing students to assess heart sounds. Which response by a student indicates appropriate understanding of how S2 heart sounds are produced?

1. "It results from the closure of the mitral valve."
2. "It is a result from the closure of the semilunar valves."
3. "It results from the closure of the tricuspid valve."
4. "It is caused by atrial contraction and ejection of blood into the ventricles in late diastole."


Correct Answer: 2
The S2 sounds results from the closure of the semilunar valves. The semilunar valves include the aortic and pulmonic valves. A splitting of the S2 occurs toward the end of inspiration in some individuals. This results from a slight difference between the times the aortic and pulmonic valves close. The S1 heart sound results from closure of the atrioventricular (AV) valves. The S4 sound may be heard in children, well-conditioned athletes, and healthy elderly individuals without cardiac disease. It is caused by atrial contraction and ejection of blood into the ventricles in late diastole.

Nursing

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