ATI Pediatrics Exam 4 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Cardioversion. Cardioversion is not recommended for pediatric patients with SVT due to the potential risks associated with the procedure, such as ventricular arrhythmias. The preferred initial interventions for pediatric SVT include vagal maneuvers and administration of adenosine. Vagal maneuvers, like carotid sinus massage or Valsalva maneuver, can help restore normal sinus rhythm by increasing vagal tone. Adenosine is a first-line medication that works by transiently blocking AV nodal conduction, thereby interrupting the reentry circuit causing SVT. Continuing to monitor the patient for 30 minutes is also a reasonable approach to observe for spontaneous resolution or persistence of SVT. In summary, cardioversion is not recommended as an initial intervention in pediatric SVT due to its potential risks compared to safer and effective options like vagal maneuvers and adenosine.

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