Author Question: When a child is found on physical examination to have an innocent murmur, the nurse will recommend ... (Read 177 times)

altibaby · **on:** Jun 27, 2018

When a child is found on physical examination to have an innocent murmur, the nurse will recommend to the caregivers that they do which of the following? Select all that apply.

a. Do not mention this to others, because it often frightens people who do not understand.
b. Tell other caregivers so that in an emergency those going to the emergency room with the child will know.
c. Provide medical documentation about the innocent heart murmur to the school nurse, coaches, and administration.
d. Say very little or nothing about the heart murmur because it only scares the child who will soon outgrow it anyway.

Question 2

A mother expresses amazement that her school-aged son, who was somewhat slow to crawl and walk, is now riding a bicycle and in-line skating.

The nurse would explain that the child is able to do these new activities well because of which of the following? Select all that apply. a. Taking longer to crawl and walk provides a much better balance and coordination system.
b. Improved balance and coordination are part of the growth and development of this age.
c. Children who are slower in developing initial skills seem to have more high-risk behaviors later.
d. This child has developed the muscles needed for bicycling and in-line skating.

javimendoza7 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B, C

Feedback
Correct For the child with an innocent heart murmur, the family should be encouraged to notify other caregivers of the condition so that in an emergency those going to the emergency room with the child will know.
The family should be encouraged to provide the school nurse and athletic coaches with medical documentation confirming the presence of an innocent heart murmur.
Incorrect It would not be prudent to not mention the murmur.
Discussing the heart murmur should not frighten the child, as the family can provide information about the condition to the child, letting the child know the condition will resolve.

Answer to Question 2

B, D

Feedback
Correct Improved balance and coordination enable the school-aged child to engage in these activities.
Muscle strength and size increase at a gradual rate during school-age years and gross motor skills continue to be refined, such as bike riding and in-line skating.
Incorrect Taking longer to crawl and walk is not associated with providing better balance and coordination.
Children who are slower in the development of initial skills are not associated with more high-risk behaviors later.