What is your assessment of Tyler's feeding? Choose the single best answer. The feeding history suggests a problem with Tyler's ability to feed adequately. What would you tell the mother now, in answer to her question? Choose the single best answer. I am concerned that Tyler's feedings do not seem to be going well. Can I ask you a few more questions about Tyler to help us find out if there is a problem? Based on the history, it sounds as if Tyler is having some real difficulties with his feeds. Which of the following might be causing Tyler's difficulty feeding, respiratory distress, and diaphoresis? Select all that apply. CHD/CHF, respiratory infection, sepsis, metabolic disorder Which of his vital signs is abnormal? Choose the single best answer. RR What do you hear in the audio of Tyler's heart sounds? Choose the single best answer. Holosystolic murmur Based on what you know about the patient so far, write a one- to three-sentence summary statement to communicate your understanding of the patient to other providers. Tyler is a 6-week-old former term infant who has recent onset of progressive dyspnea with feedings, diaphoresis, and poor weight gain (having only gained 300 grams from his birth weight). He is acyanotic with a normal temperature, but exam reveals tachypnea, an active precordium, Grade III holosystolic murmur, and hepatomegaly. With your summary statement in mind, what etiologies now remain in your differential diagnosis? CHF What is the most common cause of a murmur in childhood? Choose the single best answer Innocent murmur What congenital heart defects are more likely to be detected in school-age children than

 

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