PEDS FINAL !!

The nurse is caring for a 12-year-old receiving peritoneal dialysis. The nurse notes the return to be cloudy, and the child is complaining of abdominal pain. The child's parents ask what the next step will likely be. Which is the nurse's best response?

"We will probably place antibiotics in the dialysis fluid before the next dwell time."

Which of the following are examples of acquired heart disease? Select all that apply.

-Infective endocarditis. -Rheumatic fever (RF). -Cardiomyopathy. - Kawasaki disease (KD).

A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?

24 lb 6 oz

Congenital heart defects (CHDs) are classified by which of the following? Select all that apply.

3. Defects with increased pulmonary blood flow. 4. Defects with decreased pulmonary blood flow. 5. Mixed defects. 6. Obstructive defects.

In which congenital heart defect (CHD) would the nurse need to take upper and lower extremity BPs?

Coarctation of the aorta (COA)

The ____________ serves as the septal opening between the atria of the fetal heart.

FORAMEN OVALE

What would be the best plan of care for a newborn whose mother's hepatitis B antigen status is unknown?

Give the infant the hepatitis B vaccine and hepatitis B immune globulin within 12 hours of birth.

During a well-child checkup for an infant with tetralogy of Fallot (TOF), the child develops severe respiratory distress and becomes cyanotic. The nurse's first action should be to:

Hold the child in knee-chest position to decrease venous blood return.

A child diagnosed with congestive heart failure (CHF) is receiving maintenance doses of digoxin (Lanoxin) and furosemide (Lasix). She is rubbing her eyes when she is looking at the lights in the room, and her HR is 70 beats per minute. The nurse expects which laboratory finding?

Hypokalemia

A heart transplant may be indicated for a child with severe heart failure and:

Hypoplastic left heart syndrome.

The nurse is caring for a child with Kawasaki disease (KD). A student nurse who is on the unit asks if there are medications to treat this disease. The nurse's response to the student nurse is:

Immunoglobulin G and aspirin.

A 10-year-old has undergone a cardiac catheterization. At the end of the procedure, the nurse should first assess:

Pulses

Which reaction would a nurse expect when giving a preschooler immunizations?

The child cries and tells the nurse that it hurts.

Hypoxic spells in the infant with a congenital heart defect (CHD) can cause which of the following? Select all that apply.

1. Polycythemia. 2. Blood clots. 3. Cerebrovascular accident (CVA). 4. Developmental delays. 6. Brain damage

The parents of a child hospitalized with minimal change nephrotic syndrome (MCNS) ask why the last blood test revealed elevated lipids. Which is the nurse's best response?

"Because your child is losing so much protein, the liver is stimulated and makes more lipids."

A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse's best response to this parent whose child is diagnosed with epiglottitis and is in severe distress and in need of intubation?

"Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly."

Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease (KD) states:

"I know she will be irritable for 2 months after her symptoms started."

Which of the following best describes the action of chemotherapeutic agents used in the treatment of cancer in children? Select all that apply.

-Suppress the function of normal lymphocytes in the immune system. -Interrupt cell cycle, thereby causing cell death. -Prednisone is a natural hormone.

Which statements would indicate to the nurse that a school-age child is not developmentally on track for age? Select all that apply.

-The child has an imaginary friend named Kelly. - The child is not able to follow rules

Which statement by the mother of a child with rheumatic fever (RF) shows an understanding of prevention for her other children?

"If their culture is positive for group A Streptococcus, I will give them their antibiotic."

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

"My child is able to stand but is not yet taking steps independently."

Which statement by a parent is most consistent with minimal change nephrotic syndrome (MCNS)?

"My child missed 2 days of school last week because of a really bad cold."

Which statement by the parents of a toddler with repeated otitis media indicates they need additional teaching?

"My child will have fewer ear infections if he has his tonsils removed."

The nurse is reviewing discharge instructions with the parents of a child who had a tonsillectomy a few hours ago. The parents tell the nurse that the child is a big eater, and they want to know what foods to give the child for the next 24 hours. What is the nurse's best response?

"The child's diet should be restricted to soft foods."

The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization. Which is the nurse's best response?

"The first dose of the hepatitis B vaccine will be given prior to discharge today."

A parent asks the nurse how to prevent the child from having minimal change nephrotic syndrome (MCNS) again. Which is the nurse's best response?

"Try to keep your child away from sick children because relapses have been associated with infectious illnesses."

The nurse is assessing the pain level in an infant who just had surgery. The infant's parent asks which vital sign changes are expected in a child experiencing pain. The nurse's best response is:

"We expect to see a child's heart rate and blood pressure increase."

A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response?

"You can expect your child to develop wheezing respirations."

The parent of a child with cystic fibrosis (CF) asks the nurse what will be done to relieve the child's constipation. Which is the nurse's best response?

"Your child will likely be given MiraLAX."

When explaining the procedure to the parent of a child undergoing surgery, the provider must give which of the following information as part of informed consent? Select all that apply.

2. Alternative therapies. 3. Benefits that are likely to result from the procedure. 5. The statement that the client and family may withdraw consent at any time.

Which drug should not be used to control secondary hypertension in a sexually active adolescent female who uses intermittent birth control?

ACE inhibitors.

A child receiving peritoneal dialysis has not been having adequate volume in the return. The child is currently edematous and hypertensive. Which would the nurse anticipate the health-care provider to do?

Increase the glucose concentration of the dialysate.

The clinical manifestations of minimal change nephrotic syndrome (MCNS) are due to which of the following?

Increased permeability of the glomeruli.

A child who has reddened eyes with no discharge; red, swollen, and peeling palms and soles of the feet; dry, cracked lips; and a "strawberry tongue" most likely has?

KAWASKI DISEASE

Patent ductus arteriosus causes what type of shunt?

L TO R

A 3-month-old has been diagnosed with a ventricular septal defect (VSD). The flow of blood through the heart is

LEFT TO RIGHT

Which is diagnostic for epiglottitis?

Lateral neck x-ray of the soft tissue

An 18-month-old with a myelomeningocele is undergoing a cardiac catheterization. The mother expresses concern about the use of dye in the procedure. The child does not have any allergies. In addition to the concern for an iodine allergy, what other allergy should the nurse bring to the attention of the catheterization staff?

Latex

Which would the nurse assess in a 4-week-old infant who has developmental dysplasia of the hip and is wearing a Pavlik harness?

Leg shortening and limited abduction

How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? The values indicate the child is:

Not compliant with taking her enzymes.

A child recently diagnosed with epilepsy is being evaluated for anticonvulsant medication therapy. The child will likely be placed on which type of regimen?

One oral anticonvulsant medication to observe effectiveness and minimize side effects.

Indomethacin (Indocin) may be given to close which congenital heart defect (CHD) in newborns?

PATENT DUCTUS ARTERIOSUS

A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as:

PDA

For the child with hypoplastic left heart syndrome, which drug may be given to allow the patent ductus arteriosus (PDA) to remain open until surgery?

PROSTAGLANDIN E

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a wide pulse pressure, periods of apnea, increased PaCO2, and decreased PO2. The nurse suspects that the newborn has:

Patent ductus arteriosus (PDA)

The mother of a child who is 2 years 6 months in age has arranged a play date with the neighbor and her child who is 2 years 9 months old. During the play date the two mothers should expect that the children will do which of the following?

Play alongside one another but not actively with one another.

Which physiological changes occur as a result of hypoxemia in congestive heart failure (CHF)?

Polycythemia and clubbing.

Which signs and symptoms would the nurse expect to assess in a newborn with congenital hypothyroidism?

Post-term, constipation, and bradycardia.

A child had a tonsillectomy 6 days ago and was seen in the emergency room 4 hours ago because of postoperative hemorrhage. The parent noted that her child was "swallowing a lot and finally began vomiting large amounts of blood." The child's vital signs are as follows: T 99.5°F (37.5°C), HR 124, BP 84/48, and RR 26. The nurse knows that this child is at risk for which type of renal problem?

Prerenal failure due to dehydration.

A school-age child is admitted to the hospital for a tonsillectomy. During the nurse's postoperative assessment, the child's parent tells the nurse that the child is in pain. Which of the following observations would be of most concern to the nurse?

The child is swallowing excessively.

According to developmental theories, which important event is essential to the development of the toddler?

The child participates in being potty-trained.

The parent of a child diagnosed with Wilms tumor asks the nurse what the treatment plan will be. The nurse explains the usual protocol for this condition. Which information should the nurse give to the parent?

The child will go to surgery for removal of the tumor and the kidney and will then start chemotherapy.

Which statement accurately describes the best method for assessing a 12-month-old?

The nurse should assess the child while she is in her parent's lapv

Which activity should an adolescent just diagnosed with epilepsy avoid?

Being in a car at night.

A 16-year-old being treated for hypertension has a history of asthma. Which drug class should be avoided in treating this client's hypertension?

Beta Blockers

Which should the nurse stress to the parents of an infant in a Pavlik harness for treatment of developmental dysplasia of the hip (DDH)?

Check under the straps at least two to three times daily for red areas.

Which is the nurse's best response to the parent of a child diagnosed with epiglottitis who asks what the treatment will be?

Complete a course of intravenous antibiotics.

A child born with Down syndrome should be evaluated for which associated cardiac manifestation?

Congenital heart defect (CHD)

A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse's best response to the mother is:

"A weight loss of a few ounces is common among newborns, especially for breastfeeding mothers."

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

"At 6 months, his weight should be approximately twice his birth weight."

On examination, a nurse hears a murmur at the left sternal border (LSB) in a child with diarrhea and fever. The parent asks why the health-care provider never said anything about the murmur. The nurse explains:

"The fever increased the intensity of the murmur."

An 8-day-old was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and temperature is 99°F (37.2°C). What is the nurse's best response to the parents who ask if the vital signs are normal?

"The heart rate is elevated, but the other vital signs are within normal limits."

The parents of a newborn diagnosed with a cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired. Which is the nurse's best response?

"The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old."

A 3-year-old admitted to the hospital with croup has the following vital signs: heart rate 90, respiratory rate 44, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:

"Your son's respiratory rate is elevated, but the other vital signs are within the normal range."

Which should the nurse do to prevent separation anxiety in a hospitalized toddler?

Establish a routine similar to that of the child's home.

Which is the primary goal for a newborn with a cleft of the soft palate?

Establish feeding and sucking

Which statement accurately describes how the nurse should approach an 11-year-old to do a physical assessment?

Explain what the nurse will be doing in basic understandable terms.

The nurse is working in the newborn nursery and accidentally bumps the crib of one of the babies. This baby demonstrates a Moro reflex. The nurse sees this baby in which posture?

Extremities extended and abducted and fingers fanned

Which plan would be appropriate in helping to control congestive heart failure (CHF) in an infant?

Feeding in semi-Fowler position.

A 5-year-old boy has always been one of the shortest children in class. His mother tells the school nurse that her husband is 6′ tall and she is 5′7′′. What should the nurse tell the child's mother?

He is expected to grow about 2 inches every year from ages 6 to 9 years.

Which statement by a parent of an infant with congestive heart failure (CHF) who is being sent home on digoxin (Lanoxin) indicates the need for further education?

I will mix the digoxin in some formula to make it taste better."

Which should the nurse teach a group of girls and parents about the importance of preventing urinary tract infections (UTIs)?

Increasing fluids will help prevent and treat UTIs.

The mother of a 13-year-old girl tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child's mother asks the nurse for advice about what to do about her daughter's weight gain. Which should the nurse do?

Inform the child's mother that it is common for teen girls to gain weight during puberty.

A 10-year-old child is recovering from a severe sore throat. The parent states that the child complains of chest pain. The nurse observes that the child has swollen joints, nodules on the fingers, and a rash on the chest. The likely cause is:

RHEUMATIC FEVER

The nurse is caring for an 8-year-old girl whose parents indicate she has developed spastic movements of her extremities and trunk, facial grimace, and speech disturbances. They state it seems worse when she is anxious and does not occur while sleeping. The nurse questions the parents about which recent illness?

Rheumatic fever (RF)

Which would be the priority intervention for the newborn of a mother positive for hepatitis antigen?

The newborn should receive the hepatitis B vaccine and hepatitis B immune globulin within 12 hours of birth.

A child has a Glasgow Coma Scale of 3, HR of 88 beats per minute and regular, respiratory rate of 22, BP of 78/52, and blood sugar of 35 mg/dL. The nurse asks the caregiver about accidental ingestion of which drug?

BETA BLOCKER

Which of the following situations would be considered a failure to obtain informed consent?

Bilingual parents sign the consent form for a lumbar puncture. Later, they tell a Spanish-speaking nurse, "We do not understand why they are doing this test."

The school nurse has been following a child who comes to the office frequently for vague complaints of dizziness and headache. Today, she is brought in after fainting in the cafeteria following a nosebleed. Her BP is 122/85, and her radial pulses are bounding. The nurse suspects she has:

Coarctation of the aorta (COA)

A mother requests that her child receive the varicella vaccine at the 9-month well- child checkup. The nurse tells the mother that:

The vaccine cannot be given at that visit.

Which is the best way to obtain a urine sample in an 8-month-old being evaluated for a urinary tract infection (UTI)?

Using a straight catheter, obtain the sample and immediately remove the catheter without waiting for the results of the urine sample.

The nurse is caring for a newborn with a cleft lip and palate. The mother states, "I will not be able to breastfeed my baby." Which is the nurse's best response?

"Sometimes breastfeeding is still an option for babies with a cleft lip and palate. Would you like more information?"

Which is the nurse's best response to the parent of an infant diagnosed with the first otitis media who wonders about long-term effects?

"The child could suffer recurrent ear infections."

A child has been diagnosed with valvular disease following rheumatic fever (RF). During patient teaching, the nurse discusses the child's long-term prophylactic therapy with antibiotics for dental procedures, surgery, and childbirth. The parents indicate they understand when they say:

"She will need to take the antibiotics for the rest of her life."

What should the nurse assess prior to administering digoxin (Lanoxin)?

Apical pulse rate

What can an electrocardiogram (ECG) detect? Select all that apply

- ischemia - injury - dysrhythmias - conduction delay

Which statement by the mother of a child with rheumatic fever (RF) shows she has good understanding of the care of her child? Select all that apply.

-"I will give him his ordered anti-inflammatory medication for pain and inflammation." - "I will take my child every month to the health-care provider's office for his penicillin shot."

Which statements by an infant's mother lead the nurse to believe that she needs further education about the nutritional needs of a 6-month-old? Select all that apply.

-"I will start my son on fruits and gradually introduce vegetables." -"I will not give my son any more than 4 to 6 ounces of baby juice per day." -"I will make sure my son gets cereal three times a day."

Which test(s) could be utilized to determine cortisol levels in a child with suspected Cushing syndrome? Select all that apply.

-24-hour urine for 17 -hydroxycorticoids. -Cortisone suppression test.

Which should be included in the plan of care for a 14-month-old whose cleft palate was repaired 12 hours ago? Select all that apply.

-Allow the infant to have familiar items of comfort such as a favorite stuffed animal and a "sippy" cup. -Administer pain medication on a regular schedule, as opposed to an as-needed schedule.

Which would the nurse expect to assess on a 3-week-old infant with developmental dysplasia of the hip (DDH)? Select all that apply.

-Asymmetry of gluteal and thigh folds. -Positive Ortolani test.

Expected nursing assessments of a newborn with suspected cystic fibrosis would include which of the following? Select all that apply.

-Observe frequency and nature of stools. -Observe for weight gain.

Treatment for congestive heart failure (CHF) in an infant began 3 days ago and has included digoxin (Lanoxin) and furosemide (Lasix). The child no longer has retractions, lungs are clear, and HR is 96 beats per minute while the child sleeps. The nurse is confident that the child has diuresed successfully and has good renal perfusion when the nurse notes the child's urine output is:

1 cc/kg/hr

A nursing action that promotes ideal nutrition in an infant with congestive heart failure (CHF) is:

1. Feeding formula that is supplemented with additional calories.

Which are the most serious complications for a child with Kawasaki disease (KD)? Select all that apply.

1. Coronary thrombosis. 2. Coronary stenosis. 3. Coronary artery aneurysm.

Which can occur in untreated developmental dysplasia of the hip (DDH)? Select all that apply.

1. Duck gait. 2. Pain. 3. Osteoarthritis in adulthood.

A child had a urinary tract infection (UTI) 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed normal results. The child has had no other problems until this visit when the child was diagnosed with another UTI. Which is the most appropriate plan?

1. Obtain urinalysis and urine culture. 2. Evaluate for renal failure.

The nurse notes that the infant does not cry when the intravenous lineis inserted. The child's parents state that she has not "held anything down" in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?

Administer a bolus of normal saline.

Tetralogy of Fallot (TOF) involves which defects? Select all that apply. 1. Ventricular septal defect (VSD). 2. Right ventricular hypertrophy. 3. Left ventricular hypertrophy. 4. Pulmonic stenosis (PS). 5. Pulmonic atresia. 6. Overriding aorta. 7. Patent ductus arteriosus (PDA).

1. Ventricular septal defect (VSD). 2. Right ventricular hypertrophy. 4. Pulmonic stenosis (PS) 6. Overriding aorta

BP screenings to detect end-organ damage should be done routinely beginning at what age?

3 years.

Which client is able to give informed consent for a surgical procedure in many U.S. states?

A 15-year-old pregnant female.

Which vaccines must be delayed for 11 months after the administration of gamma globulin? Select all that apply.

4. Measles, mumps, and rubella. 5. Varicella.

Which medication should the nurse anticipate administering first to a child in status epilepticus?

Administer rectal diazepam (Valium).

A child with minimal change nephrotic syndrome (MCNS) has generalized edema. The skin appears stretched, and areas of breakdown are noted over the bony prominences. The child has been receiving furosemide (Lasix) twice daily for several days. Which does the nurse expect to be included in the treatment plan to reduce edema?

Administration of intravenous albumin.

The nurse is caring for a 2-year-old child who was admitted to the pediatric unitfor moderate dehydration due to vomiting and diarrhea. The child is restless with periods of irritability. The child is afebrile with a heart rate of 148 and a blood pressure of 90/42. Baseline laboratory tests reveal the following: Na 152, Cl 119, and glucose 115. The parents state that the child has not urinated in 12 hours. After establishing a saline lock, the nurse reviews the physician's orders. Which order should the nurse question?

After the saline bolus, begin maintenance fluids of D5 1⁄4 NS with 10 mEq KCl/L.

Which child does not need a urinalysis to evaluate for a urinary tract infection (UTI)?

An 8-year-old male presenting with a finger laceration; mother states he had surgical re-implantation of his ureters 2 years ago.

A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken. The nurse notes the infant does not produce tears when crying. Which task will help confirm the diagnosis of dehydration?

Analysis of serum electrolytes.

The parent of a 4-year-old brings the child to the clinic and tells the nurse the child's abdomen is distended. After a complete examination, a diagnosis of Wilms tumor is suspected. Which of the following is most important when doing a physical examination on this child?

Avoid palpation of the abdomen.

Which finding might delay a cardiac catheterization procedure on a 1-year-old?

Severe diaper rash.

During hemodialysis, the nurse notes that a 10-year-old becomes confused and restless. The child complains of a headache and nausea and has generalized muscle twitching. This can be prevented by which of the following?

Slowing the rate of solute removal during dialysis.

During play, a toddler with a history of tetralogy of Fallot (TOF) might assume which position?

Squatting

The nurse is caring for a 4-month-old who has just had an isolated cleft lip repaired. Select the best position for the child in the immediate post-operative period.

Supine.

A toddler who has been hospitalized for vomiting because of gastroenteritis is sleeping and difficult to wake up. Assessment reveals vital signs of a regular HR of 220 beats per minute, respiratory rate of 30 per minute, BP of 84/52, and capillary refill of 3 seconds. Which dysrhythmia does the nurse suspect in this child?

Supraventricular tachycardia.

The most common cardiac dysrhythmia in the pediatric population is:

Supraventricular tachycardia.

What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms tumor?

hypertension.

The Norwood procedure is used to correct:

hypoplastic left heart syndrome

Which toy is the best choice for a 12-month-old?

musical rattle

Which finding would the nurse consider abnormal when performing a physical assessment on a 6-month-old?

posterior fontanel is open

Aspirin has been ordered for the child with rheumatic fever (RF) in order to:

reduce joint inflammation

Which client could require feeding by gavage? Select all that apply.

1. Infant with congestive heart failure (CHF). 2. Infant with significant pulmonary stenosis.

The nurse is caring for a 9-month-old who was born with a congenital heart defect (CHD). Assessment reveals a HR of 160, capillary refill of 4 seconds, bilateral crackles, and sweat on the scalp. These are signs of?

CHF (chronic heart failure)

Exposure to which illness should be a cause to discontinue therapy and substitute dipyridamole (Persantine) in a child receiving aspirin therapy for Kawasaki disease (KD)?

Chickenpox or influenza

The flow of blood through the heart with an atrial septal defect (ASD) is

LEFT TO RIGHT

The mother of a toddler reports that the child's father has just had a myocardial infarction (MI). Because of this information, the nurse recommends the child have a(n):

Lipid profile

While looking through the chart of an infant with a congenital heart defect (CHD) of decreased pulmonary blood flow, the nurse would expect which laboratory finding?

Polycythemia.

Which medication should the nurse give to an infant diagnosed with transposition of the great vessels?

Prostaglandin E.

A 6-month-old who has episodes of cyanosis after crying could have the congenital heart defect (CHD) of decreased pulmonary blood flow called:

TERALOGY OF FALLOT

The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse's best response to the father's question of what the FLACC scale is?

"It estimates a child's level of pain utilizing behavioral and physical responses."

The mother of 10-year-old fraternal twins tells the nurse at their well-child checkup that she is concerned because her daughter has gained more weight and height than her twin brother. The mother is concerned that there is something wrong with her son. The nurse's best response is:

"It is normal for girls to grow a little taller and gain more weight than boys at this age."

The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is:

"Your baby's defect is small and will likely close on its own by 1 year of age."

The nurse is caring for a child who has undergone a cardiac catheterization. During recovery, the nurse notices the dressing is saturated with bright red blood. The nurse's first action is to:

Apply direct pressure 1 inch above the puncture site.

Which interventions decrease cardiac demands in an infant with congestive heart failure (CHF)? Select all that apply.

1. Allow parents to hold and rock their child. 4. Make frequent position changes. 5. Feed the child when sucking the fists. 6. Change bed linens only when necessary.

Which assessments indicate that the parent of a 7-year-old is following the prescribed treatment for congestive heart failure (CHF)? Select all that apply.

3. 50th percentile height and weight for age. 5. Playing basketball with other children his age.

A child has been seen by the school nurse for dizziness since the start of the school term. It happens when standing in line for recess and homeroom. The child now reports that she would rather sit and watch her friends play hopscotch because she cannot count out loud and jump at the same time. When the nurse asks her if her chest ever hurts, she says yes. Based on this history, the nurse suspects that she has:

Aortic stenosis (AS)