NURS 403: PEDIATRICS: MODULE 3 & 5: TEST QUESTIONS WITH
CORRECT ANSWERS.
1) Rheumatic fever assessment or cues -- Answer ✔✔ -sore throat (acute), should
be tested for Group A strep
- Fever (acute)
- Rash on skin (acute)
- Joint pain and inflammation (severe)
- Chorea-limb spasms (severe)
- Inflammation and scaring of cardiac valves (severe)
- Murmur
2) Rheumatic fever lab tests/diagnostics -- Answer ✔✔ -throat culture for strep
- CRP and ESR to assess for inflammation (will be high)
3) Rheumatic fever treatment -- Answer ✔✔ short term:
- Antibiotics for strep A (if they develop rheumatic fever, abx for 10 years
or 21 years old, whatever sooner)
- Nutrition
Cardiac monitoring (murmur!!) Long term:
- Managing chorea (might need physical therapy)
- Monitoring valve disease (till 21)
, - When heart is involved: high dose of aspirin
4) Rheumatic fever complications -- Answer ✔✔ -rheumatic heart disease (damage
in cardiac valves)
5) Rheumatic fever medication -- Answer ✔✔ -penicillin (key!!! To treat group A
strep. If they get rheumatoid fever/heart disease, will need to be on this for many
years)
- NSAID (aspirin)
6) Rheumatic fever education -- Answer ✔✔ -short term: antibiotics for strep,
nutrition, cardiac monitoring
- Long term: managing chorea, monitor for murmurs (valve disease), aspirin,
antibiotics for 10 years or up to 21 years old
7) Tetralogy of Fallot (TOF) assessment or cues -- Answer ✔✔ -murmur
- Low O2
- Poor perfusion if "blue" tet
- Tet spell: murmur, cyanotic
8) Tetralogy of Fallot (TOF) interventions -- Answer ✔✔ -keep O2 >75%
Tet spell:
- Knee-to-chest***
- Calm baby (morphine PRN)
- O2 (blow by)
- Fluids
- Listen for change in murmur
- If that doesn’t help get O2 >75%, bring to hospital (if not already there)
9) Tetralogy of Fallot (TOF) pathology (what makes a kid have TOF) -- Answer ✔✔
-RV hypertrophy
- Overriding aorta (turning towards R ventricle)
- VSD (ventricular septal defect, hole between ventricles)
CORRECT ANSWERS.
1) Rheumatic fever assessment or cues -- Answer ✔✔ -sore throat (acute), should
be tested for Group A strep
- Fever (acute)
- Rash on skin (acute)
- Joint pain and inflammation (severe)
- Chorea-limb spasms (severe)
- Inflammation and scaring of cardiac valves (severe)
- Murmur
2) Rheumatic fever lab tests/diagnostics -- Answer ✔✔ -throat culture for strep
- CRP and ESR to assess for inflammation (will be high)
3) Rheumatic fever treatment -- Answer ✔✔ short term:
- Antibiotics for strep A (if they develop rheumatic fever, abx for 10 years
or 21 years old, whatever sooner)
- Nutrition
Cardiac monitoring (murmur!!) Long term:
- Managing chorea (might need physical therapy)
- Monitoring valve disease (till 21)
, - When heart is involved: high dose of aspirin
4) Rheumatic fever complications -- Answer ✔✔ -rheumatic heart disease (damage
in cardiac valves)
5) Rheumatic fever medication -- Answer ✔✔ -penicillin (key!!! To treat group A
strep. If they get rheumatoid fever/heart disease, will need to be on this for many
years)
- NSAID (aspirin)
6) Rheumatic fever education -- Answer ✔✔ -short term: antibiotics for strep,
nutrition, cardiac monitoring
- Long term: managing chorea, monitor for murmurs (valve disease), aspirin,
antibiotics for 10 years or up to 21 years old
7) Tetralogy of Fallot (TOF) assessment or cues -- Answer ✔✔ -murmur
- Low O2
- Poor perfusion if "blue" tet
- Tet spell: murmur, cyanotic
8) Tetralogy of Fallot (TOF) interventions -- Answer ✔✔ -keep O2 >75%
Tet spell:
- Knee-to-chest***
- Calm baby (morphine PRN)
- O2 (blow by)
- Fluids
- Listen for change in murmur
- If that doesn’t help get O2 >75%, bring to hospital (if not already there)
9) Tetralogy of Fallot (TOF) pathology (what makes a kid have TOF) -- Answer ✔✔
-RV hypertrophy
- Overriding aorta (turning towards R ventricle)
- VSD (ventricular septal defect, hole between ventricles)
