A 9-month-old infant has a grade III/VI, harsh, rumbling, continuous murmur in the left infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which intervention to repair this defect?

Question

Quizplus · Accepted Answer

The description of a harsh, rumbling, continuous murmur in the left infraclavicular fossa and pulmonic area, along with cardiac enlargement in a 9-month-old infant, is suggestive of a patent ductus arteriosus (PDA). Coil insertion in the catheterization laboratory is a common intervention to repair this defect, as it is less invasive than open-heart surgery and can effectively close the PDA.

A 9-Month-Old Infant Has a Grade III/VI, Harsh, Rumbling, Continuous