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Case Week 6 Notes Signs and Symptoms of Congestive heart failure-NR-602: Primary Care of the Childbearing& Childrearing Family Practicum - IHuman

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Case Week 6 Notes Signs and Symptoms of Congestive heart failure-NR-602: Primary Care of the Childbearing& Childrearing Family Practicum - IHuman The NP should review the differences between fetal... and non-fetal circulation and have a working knowledge of the locations and closure times for open fetal circulation routes. Please note the location of the following fetal shunts. Ductus venosus Connects the umbilical vein to the inferior vena cava. Ductus arteriosus Connects the pulmonary artery to the aorta. Foramen Ovale Opening between the right and left atrium. A routine and complete cardiac exam for symptomatic patients or for patients undergoing a sports physical should include a thorough familial and past medical history and include the evaluation of syncopal events, past cardiac history, medications, other substances, diet, hydration, and neurological symptoms. The physical exam should include vital signs, general inspection, skin and nail bed color, respiratory rate, and full inspection, auscultation, and palpation of the chest and peripheral pulses.Cardiac anomalies affect almost 8 in 1,000 children, with 90% of these patients living well into adulthood (Hay, Levin, Deterding, &amp; Abzug, 2018). The majority of children are noted to have a murmur at some point in their life noted on routine physical examinations, but less than 1% of all murmurs are caused by a congenital defect (Hay et al., 2018Signs and Symptoms of Congestive heart failure [Show More]

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