Pediatrics Question #3
Which assessment finding should the nurse expect in a client with patent ductus arteriosus (PDA)?
- A systolic murmur that is harsh sounding
- A very loud machine-like heart murmur
- A soft murmur heard only during diastole
- A murmur heard during systolic ejection
The correct answer is B. Patent ductus arteriosus produces turbulent blood flow which creates a loud machine-like sound.The systolic murmur occurs during systole but is not harsh sounding. PDA is heard during systole and is not a soft murmur. Murmurs heard during systole are due to aortic stenosis, anemia, or hyperthyroidism.