A young child has an audible murmur. the nurse practitioner describes it as a grade 4 murmur. how should this be managed?

Murmurs can be faint to very loud and sometimes make a whooshing or swishing noise. There are categories of murmur these are the harmless and the abnormal. Children with murmur don't need a special diet, or any restriction of activities they just need to be understood and make them feel they are not different from the others.