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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

Murmur

Bradycardia

Hypotension

Clubbing of the nail beds

Weak pulses

Answer and Explanation

Correct Answer : A,C,E

A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.

B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.

C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.

D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.

E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.

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Correct Answer is A

Explanation

A. Speech and language acquisition – Correct. A cleft palate can impact speech development due to difficulties in articulation and phonation.

B. Gross motor skill development – Incorrect. Gross motor delays are not commonly associated with cleft palate.

C. Fine motor skill development – Incorrect. Fine motor skills are generally unaffected.

D. Cognitive development – Incorrect. Cognitive abilities are not typically impaired by cleft palate.

A. A 4-year-old child who has asthma and a PC02 of 37 mm Hg. B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016. C. A 1-year-old toddler who has a temperature of 390 C (102-2' F). D. A 10-year-old child who has Sickle cell anemia who reports severe chest pain.

Correct Answer is ["C","D"]

Explanation

A. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg. – Incorrect. A PCO2 of 37 mm Hg is within normal limits (35–45 mm Hg), indicating no immediate respiratory distress.

B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016. – Incorrect. A urine specific gravity of 1.016 is within the normal range (1.005–1.030), suggesting adequate hydration.

C. A 1-year-old toddler who has a temperature of 39°C (102.2°F). – Correct. A high fever in an infant can indicate a serious infection, requiring immediate assessment.

D. A 10-year-old child who has sickle cell anemia who reports severe chest pain. – Correct. Severe chest pain in a child with sickle cell anemia may indicate acute chest syndrome, a life-threatening complication requiring urgent intervention.

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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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