Practice Question
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.)
Answer Choices:
Correct Answer:
Murmur
Rationale:
Murmur
🔹 A systolic murmur is commonly heard in aortic stenosis due to turbulent flow across the narrowed aortic valve.
🔹 The murmur is usually crescendo-decrescendo and best heard at the right upper sternal border.
🔹 It is a hallmark finding during cardiac auscultation in valve disease, especially in pediatric assessments.
Weak pulses
🔹 Aortic stenosis leads to reduced blood flow through the aortic valve, resulting in diminished stroke volume.
🔹 This causes narrow pulse pressure and weak peripheral pulses, especially in the upper extremities.
🔹 It is an important circulatory finding indicating left ventricular outflow obstruction.
Hypotension
🔹 Due to obstruction of blood flow from the left ventricle, cardiac output is often impaired, leading to low systemic blood pressure.
🔹 In children, hypotension is a late but serious sign of decompensation and poor perfusion.
🔹 Early recognition can prompt interventions such as fluid support or inotropic agents.
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This question is from Custom: NUR 211 Midpoint Assessment- Summer 2 2025 which contains 29 questions.
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From Exam
Custom: NUR 211 Midpoint Assessment- Summer 2 2025
29 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 5