NSG 3600 - Pediatric Health Exam 2 || with Certified Answers.
Fetal Circulation Structures: correct answers — umbilical vein (1)/umbilical arteries (2)
— foramen ovale
— ductus arteriosus
— ductus venosus
Pediatric Cardiac Disease Prevention: correct answers — no smoking
— no alcohol consumption
— good prenatal care
— folic acid
— identify risk factors
— familial history of cardiac defects
Pediatric Indicators of cardiac dysfunction correct answers — Poor feeding
— Tachypnea/tachycardia
— Failure to thrive/poor weight gain
— Activity intolerance
— Developmental delays
— +Prenatal history
— +Family history of cardiac disease
Cardiac output = correct answers heart rate x stroke volume
Goals of therapy for heart disease correct answers Decrease preload & afterload
Increase contractility
,A shunt is: correct answers Blood flowing through an opening between two structures or vessels
of the heart
A murmur is: correct answers A sound heard when listening to the heart; it reflects flow of blood
within the heart
An "innocent murmur" is correct answers Normal cardiac anatomy and function
A "thrill" is correct answers A soft vibration over the heart that reflects the transmitted sound of a
heart murmur
Children have a ___________ ability to increase stroke volume in response to ______________
cardiac output correct answers Limited/decreased
Blood flow through the heart correct answers 1-Superior & Inferior Vena Cava
2-Rt Atrium
3-Tricuspid Valve (atrioventricular-AV valve)
4- Rt Ventricle
5-Pulmonary Valve (tricuspid/semilunar)
6-Pulmonary Artery
7- Lungs-pick up oxygen
8-Pulmonary Veins
9- Lt Atrium
10- Mitral Valve (Bicuspid) (atrioventricular AV valve)
11-Lt Ventricle
12- Aortic Valve (tricuspid/semilunar)
13-Aorta
14- Body
, Types of cardiac defects correct answers congenital and acquired
Congenital heart defect (CHD) is correct answers Anatomic abnormalities in the heart
Present at birth (may not be diagnosed immediately)
Acquired cardiac defect correct answers Infection, autoimmune response, environmental factors
and familiar tendencies
Congestive heart failure (CHF): correct answers Inability of the heart to perform its function of
pumping blood forward
Causes of CHF: correct answers CHD, dysrhythmias, cardiomyopathy and Kawasaki's
CHF clinical manifestations: correct answers Impaired myocardial function
Pulmonary congestion
Systemic venous congestion
Impaired myocardial function presents as correct answers Tachycardia, fatigue, weakness,
restless, pale, cool extremities, decreased BP, decreased urine output
Pulmonary congestion presents as: correct answers Tachypnea, dyspnea, respiratory distress,
exercise intolerance, cyanosis
Systemic venous congestion presents as: correct answers Peripheral and periorbital edema,
weight gain, ascites, hepatomegaly, neck vein distention
CHF diagnosis: correct answers History and physical
B-type natriuretic peptide
Fetal Circulation Structures: correct answers — umbilical vein (1)/umbilical arteries (2)
— foramen ovale
— ductus arteriosus
— ductus venosus
Pediatric Cardiac Disease Prevention: correct answers — no smoking
— no alcohol consumption
— good prenatal care
— folic acid
— identify risk factors
— familial history of cardiac defects
Pediatric Indicators of cardiac dysfunction correct answers — Poor feeding
— Tachypnea/tachycardia
— Failure to thrive/poor weight gain
— Activity intolerance
— Developmental delays
— +Prenatal history
— +Family history of cardiac disease
Cardiac output = correct answers heart rate x stroke volume
Goals of therapy for heart disease correct answers Decrease preload & afterload
Increase contractility
,A shunt is: correct answers Blood flowing through an opening between two structures or vessels
of the heart
A murmur is: correct answers A sound heard when listening to the heart; it reflects flow of blood
within the heart
An "innocent murmur" is correct answers Normal cardiac anatomy and function
A "thrill" is correct answers A soft vibration over the heart that reflects the transmitted sound of a
heart murmur
Children have a ___________ ability to increase stroke volume in response to ______________
cardiac output correct answers Limited/decreased
Blood flow through the heart correct answers 1-Superior & Inferior Vena Cava
2-Rt Atrium
3-Tricuspid Valve (atrioventricular-AV valve)
4- Rt Ventricle
5-Pulmonary Valve (tricuspid/semilunar)
6-Pulmonary Artery
7- Lungs-pick up oxygen
8-Pulmonary Veins
9- Lt Atrium
10- Mitral Valve (Bicuspid) (atrioventricular AV valve)
11-Lt Ventricle
12- Aortic Valve (tricuspid/semilunar)
13-Aorta
14- Body
, Types of cardiac defects correct answers congenital and acquired
Congenital heart defect (CHD) is correct answers Anatomic abnormalities in the heart
Present at birth (may not be diagnosed immediately)
Acquired cardiac defect correct answers Infection, autoimmune response, environmental factors
and familiar tendencies
Congestive heart failure (CHF): correct answers Inability of the heart to perform its function of
pumping blood forward
Causes of CHF: correct answers CHD, dysrhythmias, cardiomyopathy and Kawasaki's
CHF clinical manifestations: correct answers Impaired myocardial function
Pulmonary congestion
Systemic venous congestion
Impaired myocardial function presents as correct answers Tachycardia, fatigue, weakness,
restless, pale, cool extremities, decreased BP, decreased urine output
Pulmonary congestion presents as: correct answers Tachypnea, dyspnea, respiratory distress,
exercise intolerance, cyanosis
Systemic venous congestion presents as: correct answers Peripheral and periorbital edema,
weight gain, ascites, hepatomegaly, neck vein distention
CHF diagnosis: correct answers History and physical
B-type natriuretic peptide
