PDA
1. You're caring for a 2-day-old infant with a large patent ductus
arteriosus. The mother of the infant is anxious and asks you to
explain her
... [Show More] child's condition to her again. Which statement below
BEST describes this condition?
A. "The vessel connecting the aorta and pulmonary vein has closed
prematurely, which is leading to increased blood flow to the lungs."
B. "The vessel connecting the aorta and pulmonary artery has
failed to close at birth, which is leading to a left-to-right shunt
of blood."
C. The vessel connecting the aorta and pulmonary vein has failed to
close at birth, which is leading to a right-to-left shunt of blood."
D. "The vessel connecting the aorta and pulmonary artery has closed
prematurely, which is leading to a left-to-right shunt of blood."
2. As the nurse you know which statements below are correct about
the ductus arteriosus? Select all that apply:
A. "The ductus arteriosus is a structure that should be present
in all babies in utero."
B. "The ductus arteriosus normally closes about 3 days after
birth or sooner."
C. "The purpose of the ductus arteriosus is to help carry blood that is
entering the left side of the heart to the rest of the body, hence
bypassing the lungs."
D. "The ductus arteriosus connects the aorta to the pulmonary vein."
3. While assessing a newborn’s heart sounds you note a loud
murmur at the left upper sternal border. You report this to the
physician who suspects the infant may have patent ductus
arteriosus. The physician asks you to obtain a pulse pressure. If
patent ductus arteriosus is present, the pulse pressure would be
___________.
A. Narrow
B. Fluctuating
C. Wide
D. Normal
4. As noted in the previous question, a loud murmur was noted
during assessment of a newborn with patent ductus arteriosus. As
the nurse you know that what type of murmur is a hallmark sign of
this condition?
A. harsh, loud systolic murmur
B. soft, blowing diastolic murmur
C. systolic and diastolic machinery-like murmur
D. machinery-like murmur present on only diastole
5. You’re working on a unit that provides specialized cardiac care to
the pediatric population. Which patient below would be the best
candidate for Indomethacin from the treatment of patent ductus
arteriosus?
A. A 25-year-old adult
B. A premature infant
C. An 8 month old child
D. A 12 year old child
6. You’re working in the NICU providing care to a neonate who has a
large patent ductus arteriosus. Which finding during your head-totoe assessment would require you to immediately notify the
physician?
A. Loud, harsh continuous murmur
B. Abnormal pulse pressure
C. Crackles
D. Diaphoresis when feeding
7. You’re providing education to the parents of a child who has a
patent ductus arteriosus. The parents want to know the
complications of this condition. In your education, you will include
which of the following complications of PDA? Select all that apply:
A. Heart failure
B. Pulmonary hypertension
C. Recurrent lung infections
D. Clubbing of the fingernails
E. Endocarditis
F. Pulmonary stenosis [Show Less]