Question

Three-week-old J.T. arrives at the cardiac catheterization lab for her cardiac catheterization with her parents. She was born at term with Down syndrome, and her pediatrician is concerned because of lack of weight gain and poor feeding. You are getting the patient and her parents prepared for the procedure. As you obtain her history and take vital signs, which statements/findings would be concerning and suggestive of heart failure (HF)? (Select all that apply.)

A. "J. takes thirty to forty minutes to take two to three ounces of formula."
B. Rectal temperature: 36.6° C
C. "J. gets damp and sweaty when she feeds."
D. HR: 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

Concerning statements/findings suggestive of heart failure (HF) in a three-week-old infant with Down syndrome include poor feeding, increased work of breathing during feeds, and decreased fluid intake and output.

Step-by-step explanation:

Concerning statements/findings suggestive of heart failure (HF) in a three-week-old infant with Down syndrome include:

• A. Taking thirty to forty minutes to consume two to three ounces of formula, which indicates poor feeding.
• C. Becoming damp and sweaty during feeds, which suggests increased work of breathing.
• F. Having fewer wet diapers than before, indicating decreased fluid intake and output.

These symptoms may be indicative of heart failure in an infant with Down syndrome, who may be more prone to congenital heart defects. It is important to monitor and address these concerns before the cardiac catheterization procedure.