What is an expected finding regarding a fetal murmur auscultated immediately after birth?

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The expected finding regarding a fetal murmur auscultated immediately after birth is that it is a common phenomenon in the newborn's cardiovascular adaptation process. During the transition from fetal to neonatal circulation, it is not unusual to hear a transient murmur as the heart and blood vessels adapt to new physiological demands.

In the first few hours after birth, the physiological changes are significant; for instance, the closure of the ductus arteriosus and foramen ovale alters blood flow patterns, which may lead to a murmur. Most of these murmurs are benign and typically resolve as the circulation stabilizes. Therefore, it's anticipated that such auscultated murmurs will be present but are not indicative of any underlying pathology if they resolve soon after birth.

Persistent murmurs after 48 hours can indicate the need for further evaluation, but an immediate finding of a murmur itself shortly after birth is generally normal and expected in the context of the newborn’s transition.

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