Bounding Peripheral Pulse - Oximetry - Nursing Assignment Help

Assignment Task:

Question One:
Explain your understanding and supported by the literature of the following terms; include the physiology and any of the normal values / parameters in your answer:  values in table format. 
 • bounding peripheral pulse  
 • hyperactive precordium 
 • widening pulse pressure  
 • cardiomegaly  
 • acyanotic cardiac disorder.

Question Two  
 
a) How does ibuprofen or indomethacin work to close the PDA?               
 
b) What clinical practice points i.e.…nursing observations or measures need to be considered when a neonate is undergoing pharmacological treatment for PDA?                

Question Three   
Oximetry is utilised as a tool to assist in screening for Cardiac defects.  Discuss how the oximeter aids in supporting the screening process.  i.e. Joe is at 37+4 weeks AGA weight 2990gm, day one and is being discharged home at 14hrs of age  

Question Four  
 
Congenital heart defects (CHD) present as those that: 

• result in increased pulmonary blood flow  
• have an obstructive component  
• result in decreased pulmonary blood flow  
• or mixed presentation of any of the above 

a) Identify two defects from each of the above presentations.   
 
b) From your list of CHD, those results in ‘decreased pulmonary blood flow’ explain how one of these may potentially present in the newborn period and briefly discuss the likely outcomes.  
   

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