Parents ask the nurse if their child will always have this innocent heart murmur. Which of the following is the best answer?
a. "Yes, this murmur will not disappear and your child will have it throughout life."
b. "No, this murmur will no longer be heard when your child becomes an adolescent."
c. "Most children are lucky and the murmur goes away after a year or two."
d. "This murmur will usually be cured with a period of rest, diet, and medication."
B
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A Incorrect: Innocent heart murmurs will not be heard when the child reaches adolescence; therefore, it will not continue throughout life.
B Correct: As many as 50% of all school-aged children have an innocent heart murmur between the ages of 6 and 10 years of age. Such murmurs are not associated with heart disease and will not be heard when the child reaches adolescence.
C Incorrect: It is not completely accurate to suggest that most children are "lucky," with the murmur going away after a year or two. While the murmur may resolve within a few years, it is prudent to explain the pathophysiology of the resolution, rather than to simply suggest it is grounded in luck.
D Incorrect: The murmur is not cured as a result of rest, diet, and medication.
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