Neonatal Transition and Newborn Care · NCLEX Exam

During the first few hours after birth, what is the most accurate statement about the closure of fetal shunts in a newborn?

  1. All fetal shunts close anatomically within five minutes of birth
  2. Pulmonary vascular resistance stays higher than systemic resistance
  3. Shunt closure is gradual; full circulatory transition takes time
  4. Lung fluid remains in the alveoli for several days without clearing
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Correct answer: Shunt closure is gradual; full circulatory transition takes time

Anatomical closure of fetal shunts may take hours to days after birth, and full transition may require weeks for complete adaptation of shunt flow reversal and pressure changes.

Difficulty: Medium Question 20 of 25

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