1. As a FNP you will get the opportunity to diagnose heart murmurs. This usually causes panic in parents, so you need to understand what you are hearing. Describe a situation in which you diagnose a heart murmur on a pediatric patient. Include grade/intensity, timing in cardiac cycle, location on the chest where murmur is the loudest, radiations or transmission, quality, duration and pitch. Using Box 31-2 and Table 31-5 from the Burns text, name the murmur and follow-up recommendations.
2. It can be very challenging differentiating between different respiratory conditions in our pediatric population. Describe a situation that you have diagnosed and treated in your practicum experience. Include CC, PE, diagnosis, treatment, follow up (if needed) and education.
