Nsg 6020 week 2 test Correctly Verified Updated 2022
1. Characteristics of innocent murmurs
- Soft, grade III or lower
- Systolic timing
- Short duration
- Low pitched, vibratory, musical
- Loudest in left lower sternal border 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
