The mother of a toddler reports to the nurse that the child becomes cyanotic when he cries. Which question by the nurse is most important to ask the mother?
A.
"Does he squat while he cries?"
B.
"How long does the cyanosis last?"
C.
"Is he growing normally?"
D.
"What was his birth weight?"
ANS: A
The mother is describing a "tet" spell, which is a hallmark sign of tetralogy of Fallot. A child with this condition becomes cyanotic when playing or crying and draws his or her legs up or squats. By doing this, the child lowers his or her pulmonary vascular resistance and relieves the cyanosis. The other questions are important, but will not give information specific to this condition.
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