Problem: Keisha has come in for her annual well-child visit. Keisha enjoys preschool, she has been a healthy child, and she is at the 50% for height and weight. On exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border. What additional information should the APRN know about Keisha? What tests should the APRN order? What should the APRN specifically include in the cardiac physical examination? How should the APRN approach referrals? Want Online Help?