A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows pulmonary atresia. The next step is:

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Question 1 of 5

A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows pulmonary atresia. The next step is:

Correct Answer: B

Rationale: Prostaglandin E1 maintains ductal patency in pulmonary atresia, per AHA. A, C-E follow.

Question 2 of 5

A 1-year-old girl presents with fever and a bulging fontanelle. CSF shows gram-positive bacilli. Most likely diagnosis is:

Correct Answer: B

Rationale: Listeria meningitis fits gram-positive bacilli in infants, per AAP. A, C-E differ.

Question 3 of 5

When teaching parents about their newborn's transition to extrauterine life, the nurse explains which organs are nonfunctional during fetal life?

Correct Answer: D

Rationale: Lungs and liver D are nonfunctional during fetal life; lungs are fluid-filled, and liver function is limited as the placenta handles metabolism, per AAP.

Question 4 of 5

With regard to the newborn’s developing cardiovascular system, nurses should be aware that

Correct Answer: B

Rationale: The PMI is often visible B due to the thin chest wall, per document 1.

Question 5 of 5

The nurse’s initial action when caring for an infant with a slightly decreased temperature is to

Correct Answer: B

Rationale: Placing a cap and skin-to-skin contact B prevent further heat loss, per document p5, 8.

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