Physiological AdaptationQuestion 1318 of 2368

What causes the foramen ovale to close after birth?

  1. Pressure in the lungs rises when the cord is clamped
  2. Smooth muscle in the vessel wall constricts and seals it
  3. Blood no longer flows through the umbilical vein
  4. Pressure in the atria rises when the newborn takes the first breaths
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Correct answer: Pressure in the atria rises when the newborn takes the first breaths

Lung expansion raises atrial pressure, which pushes the valve closed. The fossa ovalis remains as a depression.

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

Practice the topic "Physiological Adaptation"

Questions last reviewed: 18 October 2026