When palpating the chest, you find the point of maximal impulse (PMI) in the left mid-axillary region. This can be indicative of:
A. Normal PMI
B. Congenital heart disease
C. Ventricular hypertrophy
D. Hypertension
ANS: C
The examiner should palpate the point of maximal impulse (PMI) and the precordium for heaves or lifts, seen in ventricular hypertrophy. The apical impulse is easily observed in the pediatric client but not always visible in the adult. An accentuated or displaced apical impulse may indicate ventricular hypertrophy.
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