An infant with trisomy 21 has a complete av canal

9. An infant with trisomy 21 has a complete AV canal defect. Which finding,
associated with having both of these conditions, will the primary care pediatric nurse practitioner
expect?
A. Crackles in both lungs
ID: 13348441101
ID: 13348441103
ID: 13348437995
ID: 13348437999

B. Hepatomegaly
C. Oxygen desaturation
Correct
D. Peripheral edema
10. A 9-month-old infant has a grade III/VI, harsh, rumbling, continuous murmur in the
left infraclavicular fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The
primary care pediatric nurse practitioner will refer the infant to a pediatric cardiologist and prepare the
parents for which intervention to repair this defect?
ID: 13348441131
11. A 5-year-old child who had a repair for transposition of the great arteries shortly
after birth is growing normally and has been asymptomatic since the surgery. The primary care
nurse practitioner notes mild shortness of breath with exertion and, upon questioning, learns that the
child has recently complained of dizziness. What will the nurse practitioner do?
ID: 13348437991
12. The primary care pediatric nurse practitioner is performing a well child
examination on a school-age child who had complete repair of a tetralogy of Fallot defect in
ID: 13348437997
13. The primary care pediatric nurse practitioner is performing a sports physical on an
adolescent whose history reveals mild aortic stenosis. What will the nurse practitioner
recommend?
A. Avoidance of all sports to prevent sudden death
B. Clearance for any sports since this is mild
C. Evaluation by a cardiologist prior to participation
Correct
Low-intensity sports, such as golf or bowling
D.
ID: 13348441119

14. During a routine well child exam on a 5-year-old child, the primary care pediatric
nurse practitioner auscultates a grade II/VI, harsh, late systolic ejection murmur at the upper left
sternal border that transmits to both lung fields. The child has normal growth and development.
What will the nurse practitioner suspect?