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CCRN Critical Care Nursing

Category - Neonatal

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Upon delivery the neonatal nurse on duty examines baby Erin and detects a heart murmur and informs the neonatologist who agrees with the finding and orders an urgent echocardiogram. Baby Erin is diagnosed with Tetralogy of Fallot. What are some of the clinical symptoms of Tetralogy of Fallot?

Cyanosis
Rapid breathing
Deep breathing
All of the above

Explanation

Answer: D - The clinical symptoms of Teralogy of Fallot in a neonate are cyanosis, rapid breathing and deep breathing (sometime referred to as tet spells). These symptoms occur because of right to left shunting of blood in the heart that causes an increase in systemic vascular resistance therefore decreasing pulmonary resistance.

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CCRN Critical Care Nursing

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