In an infant with cyanotic cardiac anomaly, the nurse should expect to see:
a. feedings taken eagerly.
b. a consistent and rapid weight gain.
c. a decrease in the heart rate with activity.
d. little to no improvement in color with oxygen administration.
ANS: D
With a cyanotic cardiac defect, the shunting of blood is right to left, so there is little if any improvement in the oxygenation of the blood with the administration of oxygen. Infants with cardiac anomalies are usually difficult feeders, have difficulty gaining weight, and have an increase in the heart rate with activity.
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