NBCSN Nationally Certified School Nurse Practice Exam

What is an indicator that a child may have a serious heart issue like CHF?

1. Persistent cold symptoms

2. Drowsiness during play

3. Difficulty in breathing during feeds

4. Developmental delays

The correct answer is: Difficulty in breathing during feeds

Difficulty in breathing during feeds is a significant indicator that a child may have a serious heart issue, such as congestive heart failure (CHF). When a child exhibits this symptom, it suggests that the heart is struggling to pump blood effectively, leading to decreased oxygen delivery to the body during a time when they require additional energy for feeding. This can cause respiratory distress, which is particularly concerning, as feeding is typically a time of comfort and nourishment. Recognizing difficulty in breathing during feeds is crucial, as it often points to an underlying cardiovascular problem that requires immediate attention. Additionally, in young children, improper feeding might lead to inadequate caloric intake, further exacerbating their condition. Monitoring for such signs is essential for healthcare providers, particularly nurses working in school or pediatric settings, to ensure timely intervention and management of potential heart issues.