The nurse is assessing a child and hears a widely split S2, which is not affected by the respiratory pattern. The physician verifies the finding and orders a chest X-ray, which shows an enlarged heart.
An echocardiogram is ordered, which shows the defect. The finding by the nurse is a classic murmur found in which of the following cardiac defects? a. atrial septal defect c. patent ductus arteriosus (PDA)
b. tetralogy of Fallot d. transposition of the great arteries (TGA)
Question 2
A mother calls the pediatrician's office and asks the nurse if she should bring the baby for scheduled immunizations.
The baby has a clear nasal discharge and a little cough, and the mother thinks perhaps the baby should not get immunizations if he has a cold. The nurse's best response is: a. You are correct not to bring the baby to the office and expose other children.
b. Let's wait until the baby is free of these symptoms. There is no hurry for these immunizations.
c. Immunizations are not usually contraindicated with a mild illness such as a cold.
d. Take the baby's temperature. If it is not over 38.8 degrees C (101.8 degrees F), we will go ahead with the immunizations.