The most appropriate next step for this process is to re-examine the chest.
Tachycardia is termed as a heart rate that exceeds normal resting rate. In adults over 100 beats per minute is being expected to a tachycardia adult.
The normal resting rate for a person depends on age. When there are excess heartbeats, then the heart pumps less efficient and provides less blood flow to the rest of body.
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The correct answer is secondary sexual characteristic.
These are the characteristics that start developing in humans during puberty. Primary sex characteristics are obviously reproductive organs, but secondary characteristics refer to pubic hair, enlarged breasts with females, and facial hair/Adam's apple with males.