Author Question: Which of the following actions would the nurse take when finding an innocent murmur while listening ... (Read 50 times)

cabate · **on:** Jun 27, 2018

Which of the following actions would the nurse take when finding an innocent murmur while listening to a child's heart?

a. Refer the child and mother to a cardiologist.
b. Advise the caregiver(s) to restrict the child's activity.
c. Teach the family that this murmur needs no intervention.
d. Get an order for oxygen, and administer it as soon as possible.

Question 2

A mother asks the nurse to tell her what creeping is. She is expecting her baby to crawl any day and another mother says that her baby creeps. The nurse explains that creeping is when the baby:

a. moves on hands and knees with the abdomen off the floor
b. crawls using the elbows to scoot across the floor
c. draws the legs up, stretches out, and repeats the process
d. stands and walks on the toes with heels off the ground

harveenkau8139 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. The nurse would not refer the child and mother to a cardiologist.
B Incorrect. The nurse would not advise the caregiver(s) to restrict the child's activity.
C Correct. The nurse would teach the family that this murmur needs no intervention and is not pathological, indicating no structural or functional heart disease.
D Incorrect. The nurse would not get an order for oxygen, and administer it as soon as possible.

Answer to Question 2

A

Feedback
A Correct. Creeping is best described as when the baby moves on hands and knees with the abdomen off the floor.
B Incorrect. The baby crawls first by pulling self forward with the abdomen touching the floor, the creeps.
C Incorrect. Creeping is locomotion when the baby is up on hands and knees, not leg extensions.
D Incorrect. Creeping is locomotion when the baby is up on hands and knees, not standing and walking on the toes with heels off the ground.