CCRN Critical Care Nursing

Category - Neonatal

A neonatal nurse is doing a routine exam of a 2 week old premature infant. She detects a systolic murmur which can be heard maximally in the Axillae. It has a high pitch long sound to it almost like a blowing sound. This finding most likely means:
  1. Is in heart failure
  2. That the baby is threatening a cardiac arrest
  3. At this age it is not a cause for concern
  4. The baby has a congenital heart defect
Explanation
Answer: C- At this age it is not a cause for concern. This particular murmur is coming from the peripheral pulmonary arteries and is common in premature babies and on occasion in full term babies.
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