Congenital Heart Defects in Children

Congenital Heart Defects in Children ( 20 Questions)

A nurse is caring for a child with a suspected congenital heart defect.
Which diagnostic test is most appropriate for assessing the size and shape of the heart and detecting associated abnormalities?


Correct Answer: A

Choice A rationale:

Echocardiography Echocardiography is the most appropriate diagnostic test for assessing the size and shape of the heart and detecting associated abnormalities in a child with a suspected congenital heart defect.

It uses sound waves to create images of the heart, providing detailed information about the heart's structure and function.

It is non-invasive and safe, making it an excellent choice for initial evaluation.

Choice B rationale:

Electrocardiography (ECG) Electrocardiography (ECG) is a valuable test for assessing the electrical activity of the heart, including rhythm and conduction abnormalities.

However, it does not provide detailed information about the size and shape of the heart or structural abnormalities.

ECG is often used in conjunction with other tests like echocardiography.

Choice C rationale:

Chest X-ray A chest X-ray can provide some information about the heart's size and shape but is not as detailed as echocardiography.

It is often used as an initial screening tool but is not the primary diagnostic test for assessing congenital heart defects and their associated abnormalities.

Choice D rationale:

Cardiac catheterization Cardiac catheterization is an invasive procedure that involves threading a thin tube (catheter) through blood vessels into the heart.

It is primarily used to obtain detailed hemodynamic information and to perform interventions such as closing defects or dilating narrowed blood vessels.

While it can be valuable in certain situations, it is not the initial diagnostic test of choice for assessing the size and shape of the heart in a child with a suspected congenital heart defect.




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