The primary care pediatric nurse practitioner is evaluating a heart murmur during a pre-participation examination of a high school athlete. Which finding would be a concern requiring referral to a cardiologist?
A) A murmur that is louder when squatting and softer when standing
B) A murmur that is quieter when squatting and louder with a Valsalva maneuver
C) A murmur with narrow and variable splitting of S2
D) A systolic murmur that is grade 1 or 2
Correct Answer:
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