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Day 1 PDA murmur – normal — RACP Paediatrics MCQ

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ModerateNeonatalDay 1 PDA murmur – normalRACP Paediatrics

A newborn has a continuous murmur in the left infraclavicular area on day 1. Well, no cyanosis, normal pulses, SpO2 98%/97%. What is the likely cause and action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Normal variant – no action

Day 1 continuous murmur with normal sats in a well infant is likely a closing PDA – normal finding. Re-evaluate at 6 weeks; if persistent, echo.

Reference: RCH Melbourne – 2023 – Newborn Exam CPG