South University, Savannah NSG 6020 week 2 test Latest 2021

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Test 1 WEEK 2 NSG 6020 1. Characteristics of innocent murmurs - Soft, grade III or lower - Systolic timing - Short duration - Low pitched, vibratory, musical - Loudest in left lower sternal bord... er or at 2nd 3rd intercostal space - Loudest when lying down, during expiration, or exercise - Sound diminishes with position change from recumbent to sitting - Intensity/prescence varies over time - Child has normal growth - No associated thrill or cyanosis 2. Types of innocent murmurs - Which innocent murmur is heard most frequently from 3-7 years of age, its vibratory or musical, heard best between lower left sternal border and apex with child supine, most likely caused by turbulence inn left ventricular outflow tract o Still’s murmur - Which innocent murmur is high pitched, blowing sounds, best heard at the pulmonic areas with child supine o Basal systolic ejection murmur - Which innocent murmur is short, systolic, and heard best in the axillae and back, usually disappears in infancy o Physiological peripheral pulmonic stenosis (pulmonary outflow murmur) - Which innocent murmur causes a humming, its continuous, best heard in the supraclavicular areas with the child sitting, diminished when the child lies down, turns head, or when the provider occludes the jugular vessels o Venous hum 3. When does the patent ductus arteriosus close - Usually by day 4 after birth 4. What are the clinical findings in a newborn with an open patent ductus arteriosus - Diaphoresis (especially during feedings), poor feedings, easy tiring, end result failure to thrive - Sound is described as harsh, rumbling, continuous murmur heard at the left infraclavicular and pulmonic areas 5. Galactorrhea can indicate - Hypothyroidism or pituitary tumor 6. What are the 3 special maneuvers to assess the hips of an infant - Barlows - Ortonlani’s - Galeazzis 7. Newborn flexes - Rooting, sucking, palmar grasp, stepping, moro [Show More]

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