The nurse is assessing heart sounds on a school-age child. Which should the nurse document as abnormal findings if found on the assessment? (Select all that apply.)
A) S4 heart sound
B) S3 heart sound
C) Grade II murmur
D) S1 louder at the apex of the heart
E) S2 louder than S1 in the aortic area

Question

Quizplus · Accepted Answer

S4 is rarely heard as a normal heart sound; it usually indicates the need for further cardiac evaluation. A grade II murmur is not normal; it is slightly louder than grade I and is audible in all positions. S3 is normally heard in some children. Normally, S1 is louder at the apex of the heart in the mitral and tricuspid area, and S2 is louder near the base of the heart in the pulmonic and aortic area.

The Nurse Is Assessing Heart Sounds on a School-Age Child