The echocardiogram (ultrasound of the heart) reveals that Isabelle's murmur is caused by something called a ventricular septal defect (VSD). A VSD is a hole in the interventricular septum, the wall of the muscle that separates the left ventricle from the right ventricle. The ECG shows sinus rhythm with no conduction of abnormalities.
Think about the position of the heart in the chest cavity. Isabelle's VSD is in the interventricular septum between the mitral and tricuspid valves.
At what anatomical location would the nurse practitioner best hear Isabelle's murmur?

Schools are being forced to embrace computers. unlike their "digital immigrant" teachers, these students are "digital natives", born into a world where technology is an integral part of everyday life. almost every student has access to a multitude of computers, laptops and tablet devices. it would be crazy to assume an assignment would  notbe written on computer in this day and age.many schools now have a 1-to-1 computer policy, and many districts and states in the united states have mandated computers or ipads across the state for every student,  including los angeles, the second largest school district in the country.but the thing is, when they tried it in la, it wasn't the success they hoped for. that's because the tablets weren't used as much as they expected. rather, it appeared there was a gap between the digital native's love of technology and their use of it in the classroom.this conflicted relationship with computers is also underscored by much of the literature on education. it is also highlighted in professional development and conferences such as  edutech.

Just dont put scarce