The nurse is assessing a 36-week gestational age newborn. What assessment findings indicate that a cardiac defect is present? Select all that apply
1. Cyanosis
2. Abdominal bruit
3. Peripheral pulses
4. Signs of heart failure
5. Presence of a heart murmur
1, 4, 5
Explanation:
1. The primary goal of the neonatal nurse is to identify cardiac defects early and initiate referral to the healthcare provider. One of the most common manifestations of a cardiac defect is cyanosis.
2. An abdominal bruit is not a sign of a cardiac defect in a newborn.
3. Peripheral pulses are not assessed to determine the presence of a cardiac defect in a newborn.
4. The primary goal of the neonatal nurse is to identify cardiac defects early and initiate referral to the healthcare provider. One of the most common manifestations of a cardiac defect is signs of heart failure.
5. The primary goal of the neonatal nurse is to identify cardiac defects early and initiate referral to the healthcare provider. One of the most common manifestations of a cardiac defect is the presence of a heart murmur.
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