Neonatal Transition and Newborn Care · NCLEX Exam

A newborn is noted to have persistent cyanosis beyond the first hour of life despite oxygenation and warming. What possibility must the nurse consider?

  1. An expected variation of normal transition
  2. Persistent pulmonary hypertension or congenital heart defect
  3. Early functional closure of the ductus arteriosus
  4. Over-ventilation of the newborn's lungs
Show answer and explanation

Correct answer: Persistent pulmonary hypertension or congenital heart defect

Persistent cyanosis suggests a potential underlying pathology like PPHN or a congenital heart defect rather than a normal transition.

Difficulty: Medium Question 23 of 25

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