Three-week-old J.T. and her parents arrive at the cardiac cath lab for her cardiac catheterization. she was

Question

born at term with down syndrome and her pediatrician is concerned because of lack of weight gain and
poor feeding.

you are getting her and her parents prepared for the procedure.
As you obtain her history and take vital signs, which statements or findings would be
concerning and suggestive of heart failure (HF)? Select all that apply.
a. "J. takes 30 to 40 minutes to take 2 to 3 ounces of formula."
b. Rectal temperature: 36.6 ° C
c. "J. gets damp and sweaty when she feeds."
d. Heart rate: 195 at rest
e. Peripheral pulses +3
f. "J. seems to have fewer wet diapers than when we brought her home from the hospital."

Answer 1

a, c, d, f
Signs of HF include tachycardia, tachypnea, poor feeding, fatigue, and weight loss, which
might progress to weight gain as a result of edema. You might see signs of respiratory distress and
decreased urinary output. The temperature, 36.6 ° C (97.7 ° F), and pulses are normal.