Physiological AdaptationQuestion 1292 of 2368

The nurse prepares to give a rapid intravenous fluid bolus to a neonate. Which complication is the greatest concern with this intervention?

  1. Premature closure of the foramen ovale
  2. Acute heart failure from fluid overload
  3. Reduced cardiac output from tachycardia
  4. Increased heart rate from sympathetic stimulation
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Correct answer: Acute heart failure from fluid overload

Neonatal heart muscle cannot stretch well. Rapid fluid increases can overdistend the ventricles and cause acute heart failure.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Congenital Heart Defects: PRELOAD CONSIDERATIONS. Licensed under CC BY 4.0.

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026