Question

a six month old girl with previous her problem is brought to the Ambulatory Care Clinic by her mother for a routine well-child appointment during the psychological assessment of the child the nurse discovers that the baby pulse rate is 200 beats per minute the child is awake and calm. what should the nurse do first in evaluating this measurement? a. ask the mother for further family history of cardiovascular disease, b. assess the child for development delay ,c .compare this value with norms for the child age group and with readings taken on previous visits to clinic. d. begin arrangement to send the child for echocardiography in order to assess her cardiac defects

Answer 1

Correct answer is option c, that is compare the value with previous norms for the child age group and with reading takes on previous visit to clinic .Because the normal range of heart rate in six month old baby is 110 - 160 b/min.some baby have always in upper limit and some are in lower limit. Exercise or activities may increase the heart rate.here the child is not having chest pain and difficulty in breathing so we should compare the value with previous finding then go for the further evaluation.