A 5-Day-Old Neonate Is Brought to the Hospital Due to Poor

question 356

Multiple Choice

A 5-day-old neonate is brought to the hospital due to poor feeding, sweating, pallor, and respiratory distress.  The symptoms are exacerbated with feedings.  There has been no loss of consciousness or cyanosis during these episodes.  She has no fever or cough.  The girl was born at 38 weeks gestation via an uncomplicated vaginal delivery.  On examination, temperature is 36.7 C (98 F) , pulse is 165/min, and respirations are 75/min.  Oxygen saturation on room air is 97% in the right hand and 95% in the left foot.  She has nasal flaring and retractions.  Bilateral fine crackles are present.  A gallop is heard over the precordium; there is no murmur.  The liver edge is palpable 3 cm below the right costal margin.  Extremities are pale and cold.  Brachial pulses are strong and femoral pulses are weak.  What is the most likely cause of her symptoms?

• A)Decreased systemic vascular resistance
• B)Increased left ventricular afterload
• C)Increased pulmonary arterial blood flow
• D)Left-to-right atrial shunt
• E)Left-to-right ventricular shunt

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Definitions:

Blockbuster Movies

High-budget films that are expected to be significant commercial successes.

Hollywood Studios

Major film production companies based in Hollywood, California, known for producing and distributing films globally.

Foreign Markets

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Cultural Imperialism

Cultural imperialism is the practice of promoting and imposing a culture, usually that of a politically and economically dominant nation, over a less powerful society, often leading to the erosion of local cultures.