A nurse working in the newborn nursery is assessing a term baby for congenital heart defects.Which clinical manifestations would indicate an atrial septal defect (ASD)? Select all that apply.
A) Pulmonary artery hypotension
B) Midsystolic murmur at lower right sternal border
C) Mitral valve regurgitation with cleft on mitral valve.
D) S1 heart tone may be split due to forceful left ventricular contraction.
E) Congestive heart failure

Question

Quizplus · Accepted Answer

A) An atrial septal defect (ASD) occurs when there is an opening in the atrial septum permitting left-to-right shunting of blood. Midsystolic murmur may be auscultated at the lower left sternal border, due to increased blood flow across the tricuspid valve. Mitral valve regurgitation may occur with a cleft on the mitral valve. S1 heart tones may be split due to forceful right ventricular contraction. Finally, pulmonary artery hypertension and congestive heart failure may occur.
B) An atrial septal defect (ASD) occurs when there is an opening in the atrial septum permitting left-to-right shunting of blood. Midsystolic murmur may be auscultated at the lower left sternal border, due to increased blood flow across the tricuspid valve. Mitral valve regurgitation may occur with a cleft on the mitral valve. S1 heart tones may be split due to forceful right ventricular contraction. Finally, pulmonary artery hypertension and congestive heart failure may occur.
C) An atrial septal defect (ASD) occurs when there is an opening in the atrial septum permitting left-to-right shunting of blood. Midsystolic murmur may be auscultated at the lower left sternal border, due to increased blood flow across the tricuspid valve. Mitral valve regurgitation may occur with a cleft on the mitral valve. S1 heart tones may be split due to forceful right ventricular contraction. Finally, pulmonary artery hypertension and congestive heart failure may occur.
D) An atrial septal defect (ASD) occurs when there is an opening in the atrial septum permitting left-to-right shunting of blood. Midsystolic murmur may be auscultated at the lower left sternal border, due to increased blood flow across the tricuspid valve. Mitral valve regurgitation may occur with a cleft on the mitral valve. S1 heart tones may be split due to forceful right ventricular contraction. Finally, pulmonary artery hypertension and congestive heart failure may occur.

A Nurse Working in the Newborn Nursery Is Assessing a Term