The nurse is performing an assessment on an infant. Which finding is considered an abnormal cardiovascular assessment that should be documented and reported to the physician?
A) Decreased heart rate
B) Visible pulsation through a thin chest wall
C) Sinus dysrhythmia that increases with inspiration and decreases with expiration
D) Presence of an S heart sound
Ans: A
Infants and children should have a more rapid heart rate, instead of a decreased heart rate, until about age 8 years. Common cardiovascular findings include visible pulsation if the chest wall is thin, sinus dysrhythmia (the rate increases with inspiration and decreases with expiration), and the presence of an S heart sound.
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