Pediatric Primary Care Chapter
Pediatric
38Primary
Cardiovascular
Care Chapter
Pediatric
Disorders
38Primary
Cardiovascular
2026_2027
Care _Chapter
Study
Disorders
Guide
38 Cardiovascular
2026_2027
& Exam Prep.pdf
_ Study
Disorders
Guide2026_2027
& Exam Prep.pdf
_ Study Guide & Exam Prep.pdf
Pediatric Primary Care Chapter 38
Cardiovascular Disorders
2026/2027 | Study Guide & Exam
Prep
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Pediatric Primary Care Chapter
Pediatric
38Primary
Cardiovascular
Care Chapter
Pediatric
Disorders
38Primary
Cardiovascular
2026_2027
Care _Chapter
Study
Disorders
Guide
38 Cardiovascular
2026_2027
& Exam Prep.pdf
_ Study
Disorders
Guide2026_2027
& Exam Prep.pdf
_ Study Guide & Exam Prep.pdf
,Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
Terms in this set (40)
The primary care pediatric nurse practitioner (PNP) is ANS: A
examining a 2-week-old infant and auscultates a wide A wide splitting of S without becoming a single sound on expiration may indicate
splitting of S during expiration. What condition may this increased
finding pulmonary flow, typical of atrial septal defect. Coarctation of the aorta may
represent? cause a systolic ejection murmur. A patent ductus arteriosus has a characteristic
a. Atrial septal defect (ASD) machinery-like murmur. A ventricular septal defect has a harsh, high-pitched,
b. Coarctation of the aorta (COA) grade II to IV/VI holosystolic murmur.
c. Patent ductus arteriosis (PDA)
d. Ventricular septal defect (VSD)
The primary care pediatric nurse practitioner auscultates ANS: C
a new grade II vibratory, mid-systolic murmur at the mid A Still's murmur is characterized by a vibratory or musical low-grade sound,
sternal border in a 4-year-old child that is louder when along the sternal border, which is louder when the child is supine or during
the child is supine. What type of murmur is most likely? inspiration. It is usually heard in children between the ages of 2 and 6 years old.
a. Pathologic murmur Pathologic murmurs are usually harsh, not vibratory. A pulmonary flow murmur
b. Pulmonary flow murmur has a soft, blowing sound and radiates to the lung fields. A venous hum has a
c. Still's murmur soft, high-pitched swishing sound.
d. Venous hum
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
,Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
During a well child assessment, the primary care ANS: D
pediatric nurse practitioner (PNP) auscultates a harsh, A harsh, blowing murmur is suspicious for pathology, so a cardiology referral is
blowing grade IV/VI murmur in a 6-month-old infant. warranted. The cardiologist will determine which tests and procedures should
What will the nurse practitioner do next? be performed.
a. Get a complete blood count to rule out severe
anemia.
b. Obtain an electrocardiogram to assess for arrhythmia.
c. Order a chest radiograph to evaluate for
cardiomegaly.
d. Refer to a pediatric cardiologist for further evaluation.
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
, Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
The primary care pediatric nurse practitioner provides ANS: B
primary care for a 4-month-old infant who has a Infants with heart defects who have congestive heart failure (CHF) may need
ventricular septal defect (VSD). The infant has been modification of formula or breast milk to increase calories. This infant is nursing
breastfeeding well but in the past month has dropped well, so fortifying the breast milk to increase calories is the first and best option.
from the 20th percentile to the 5th for weight. What will Adding solids does not significantly increase caloric intake.
the nurse practitioner recommend?
a. Adding solid foods to the infant's diet to increase
caloric intake
b. Fortifying breast milk to increase the number of
calories per ounce
c. Stopping breastfeeding and giving 30 kcal/ounce
formula
d. Supplementing breastfeeding with 24 kcal/ounce
formula
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
Pediatric
38Primary
Cardiovascular
Care Chapter
Pediatric
Disorders
38Primary
Cardiovascular
2026_2027
Care _Chapter
Study
Disorders
Guide
38 Cardiovascular
2026_2027
& Exam Prep.pdf
_ Study
Disorders
Guide2026_2027
& Exam Prep.pdf
_ Study Guide & Exam Prep.pdf
Pediatric Primary Care Chapter 38
Cardiovascular Disorders
2026/2027 | Study Guide & Exam
Prep
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Pediatric Primary Care Chapter
Pediatric
38Primary
Cardiovascular
Care Chapter
Pediatric
Disorders
38Primary
Cardiovascular
2026_2027
Care _Chapter
Study
Disorders
Guide
38 Cardiovascular
2026_2027
& Exam Prep.pdf
_ Study
Disorders
Guide2026_2027
& Exam Prep.pdf
_ Study Guide & Exam Prep.pdf
,Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
Terms in this set (40)
The primary care pediatric nurse practitioner (PNP) is ANS: A
examining a 2-week-old infant and auscultates a wide A wide splitting of S without becoming a single sound on expiration may indicate
splitting of S during expiration. What condition may this increased
finding pulmonary flow, typical of atrial septal defect. Coarctation of the aorta may
represent? cause a systolic ejection murmur. A patent ductus arteriosus has a characteristic
a. Atrial septal defect (ASD) machinery-like murmur. A ventricular septal defect has a harsh, high-pitched,
b. Coarctation of the aorta (COA) grade II to IV/VI holosystolic murmur.
c. Patent ductus arteriosis (PDA)
d. Ventricular septal defect (VSD)
The primary care pediatric nurse practitioner auscultates ANS: C
a new grade II vibratory, mid-systolic murmur at the mid A Still's murmur is characterized by a vibratory or musical low-grade sound,
sternal border in a 4-year-old child that is louder when along the sternal border, which is louder when the child is supine or during
the child is supine. What type of murmur is most likely? inspiration. It is usually heard in children between the ages of 2 and 6 years old.
a. Pathologic murmur Pathologic murmurs are usually harsh, not vibratory. A pulmonary flow murmur
b. Pulmonary flow murmur has a soft, blowing sound and radiates to the lung fields. A venous hum has a
c. Still's murmur soft, high-pitched swishing sound.
d. Venous hum
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
,Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
During a well child assessment, the primary care ANS: D
pediatric nurse practitioner (PNP) auscultates a harsh, A harsh, blowing murmur is suspicious for pathology, so a cardiology referral is
blowing grade IV/VI murmur in a 6-month-old infant. warranted. The cardiologist will determine which tests and procedures should
What will the nurse practitioner do next? be performed.
a. Get a complete blood count to rule out severe
anemia.
b. Obtain an electrocardiogram to assess for arrhythmia.
c. Order a chest radiograph to evaluate for
cardiomegaly.
d. Refer to a pediatric cardiologist for further evaluation.
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
, Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
The primary care pediatric nurse practitioner provides ANS: B
primary care for a 4-month-old infant who has a Infants with heart defects who have congestive heart failure (CHF) may need
ventricular septal defect (VSD). The infant has been modification of formula or breast milk to increase calories. This infant is nursing
breastfeeding well but in the past month has dropped well, so fortifying the breast milk to increase calories is the first and best option.
from the 20th percentile to the 5th for weight. What will Adding solids does not significantly increase caloric intake.
the nurse practitioner recommend?
a. Adding solid foods to the infant's diet to increase
caloric intake
b. Fortifying breast milk to increase the number of
calories per ounce
c. Stopping breastfeeding and giving 30 kcal/ounce
formula
d. Supplementing breastfeeding with 24 kcal/ounce
formula
Pediatric Primary Care_ Chapter 38_ Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter
Pediatric
45Primary
- Endocrine
Care_and
Chapter
Metabolic
38_ Disorders.pdf
Cardiovascular Disorders, Burns Chapter 45 - Endocrine and Metabolic Disorders.pdf
